HomeMy WebLinkAbout024-741-19-5503-LUP-1998-299Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. #2.
#3 . #4.
Size (D ft. wide
ft. wide
ft. wide
ft. wide
L ' - " ft. long
ft. long
ft. long
ft. long
Floor area �% sq. ft.
sq. ft.
sq. ft.
sq. ft.
Hgt. from grade _� to peak
ft. hgt.
ft. hgt.
ft. hgt.
Stories �I
stories
stories
stories
# of bedrooms
rear lot line
or waterline of P tA Li lake/river
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline
Road
Lot lines
Septic system
Distance between structures.
Indicate North.
Fire Number:
Signature of Qer Zl�
The above certifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission for access to the
property for onsite inspection.
Issue Date
Office Comments:
76
34
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- Expire Date
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Signatureof Zoning Administrator