HomeMy WebLinkAbout024-641-13-1403-LUP-1999-268Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. #2. #3 . #4.
Size_ / 2— ft. wide ft. wide ft. wide ft. wide
Z ft. long ft. long f lr%nc*
Floor area sq. ft. sl 22
waterline
Hgt. from grade to peak ft
Stories
# of bedrooms
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands
Road
Lot lines
Septic system/privy
Well
Distance between structures.
Indicate North.
Fire Number:
73 Al
Signature of �v er
The above certifies that the listed
information and intentions are true and
correct. The above persons/ hereby
give permission for access to the
property for onsite inspection.
Issue Date June 9, 1999
Office Comments:
------- C
L
Expire Date
Jurte 9, 2000
a � �/�- - 4'A d4E:e 4�
Signature of Zoning Administrator