HomeMy WebLinkAbout010-839-01-4412-LUP-1999-233Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#I. CzX ^. #3. #4.
Size ft. wide ft. wide T ft. wide
a V ft. long ft. long ft. long
Floor area S 7 sq. ft.
Hgt. from grade to peak
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:
Signature of Owner
The above certifies that the listed
information and intentions are true and
sq. ft.
ft. hg
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ft. wide
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correct. The above person/s/ hereby j
Xgive permission for access to theL/j301A
property for onsite inspection. _______ C { `
Issue Date May 26, 1999 ExpireDate_May 26 2000
Office Comments:
Signature of Zoning Administrator