HomeMy WebLinkAbout010-841-14-5504-LUP-1999-079Application for Land Use Permit — Page 2
Describe Constructio : List dimensions of each structure, story, addition, or alteration.
# I. - ---I'U- #2. — (�n w,, Vk #3. " � `1L
Size ft. ide ft. wide G It L ft. wide
3 .long Z ft. long 14 z ft. long
Floor area 1 sq. ft. sq. ft. sq. ft.
Hgt. fm 2- 1— to peak y ft. hgt. ft. hgt.
Stories l , stories stories
# of bedrooms 7--
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands
Road 1-7 o'
Lot lines
Septic system/privy
Well
Distance between structures.
Indicate North.
Fire Number:
oq 2.,
Signature of Owner
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.
IssueDate April 6, 1999
Office Comments:
rear lot line or�ater-k.
If k-
W U-
#4.
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
800G.dl G:
$pl. N
P
t5'
W ____ 0
,W
1
All Distances ApproArnate
lake/river
centerline of I— i 1nAQrn road-------
Expire Date
April 6, 2000
e�z
h r
s
Signature of Zoning Administrator