HomeMy WebLinkAbout010-171-00-4403-LUP-1999-129Application for Land Use Permit — Page 2
1-1
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. M a,. - %'u e - )c,'Z #2. #3. #4.
Size_ ft. wide 14 ft. wide ft. wide ft. wide
Ino ft. long ft. long ft. long ft. long
Floor area 1 -190 sq. ft. sq. ft. sq. ft. sq. ft.
Hgt from grade_ to peak ft. hgt. ft. hgt. ft. hgt.
Stories I (OAQ,), stories stories stories
# of bedrooms
�X y o ^ � � rear lot line or waterline of t}t,� �� k /river
I Al o ���6
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline SSA
Road 3S
Lot lines
Septic system
Distance between structures.
d I
Indicate North.
Fire Number:
t1?78Co ?evliKSu.(q 10
C - 14�
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. ------- centerline of road -------
Issue Date April 2
Office Comments:
U4R q9-0 �O
1999 Expire Date April 273 2000
R
t) 9 ►-oa i
Signatttrc of oning Administrator