HomeMy WebLinkAbout022-738-14-4201-LUP-1999-404Application for Land Use Permit — Page 2
Describe Constzu lion: List dimensions of each structure, story, addition, or alteration.
91. >1, #2. 1- 9- #3. c us, '-
Size wide k x —s - ft. wide 5 ft. wide
ft. Iong to ,c;d ft. long rJ ft. long
Floor area / C1 0 sq. ft. �Psq. ft. sq. ft.
Hgt. from grade _ 1� to peak ft. hgt. ft. hgt.
Stories stories stories
# of bedrooms
-j�►al ,��"
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:
I rc�G'�r
Sig ture 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.
rear lot line or waterline of
#4.
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
------- centerline of road-------
Issue Date July 27, 1999 Expire Date July 27, 2000
Office Comments: �
Signature of Zoning Administrator