032-540-13-2303-LUP-2000-226Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration,
# 1. #2. #3.
Size ` 9 , _ ft. wide ft. wide ft. wide
120 ' ft. long ft. long ' ft. long
Foes-r area JCeDC�) sq. ft. sq. ft. sq. ft.
Hgt. from grade to peak ft. hgt. ft. hgt.
Stories r--- stories stories
# of bedrooms
rear lot line or waterline of
In the box sketch ill:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterti neAVe tl and s
Road
Lot lines
Septic system/privy
Well
Distance between structures.
Indicate North.
Fire Number'- r-�
�1 � L����F lcfl�j
i�
Signature of Owner
•
#4.
ft. wide
ft. long
T
sq. ft.
ft. hgt.
stories
lake/river
(2 HE g 1/AME&-OA) /U?6�1-10 x P e- /r- 0/2E-57
Loretto
The above certifies that the listed f
information and intentions are tnie and
correct. The above persotils/ hereby
aive permission for access to the I o
property for onsite inspection. ------- centerline Of L o cr Cup @ e �o� road-------
IssueDate —June 2, 2000 Expire Date June 2, 2001
Office Comments:
Signature OFZOnIng Administrator