HomeMy WebLinkAbout010-841-27-5106-LUP-1999-422Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
41. #2. #3.
Size ft. wide ft. wide ft. wide
1/0 . ft. long ft. long ft. long
Floor area /,?3n sq. ft. sq. ft. sq. ft.
Hgt. from grade to peak ft.
Stories / st(
# of bedrooms
I
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:
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:
rear h
�C�SS
%A.) Cr
Denied
#4.
August 2, 1999 Expire Date August 2, 2000
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Signature of Zoning Administrator
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ft. wide
ft. long
sq. ft.
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