HomeMy WebLinkAbout032-338-22-5205-LUP-1999-392Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. <isA #3. )\/A
Size ft. wide ft. wide ft. wide
3(o ft. long ft. long ft. long
Floor area P !, �! _ sq. ft. sq. ft. sq. ft.
Hgt from grade 1 �: to peak ft. hgt. ft. hgt.
Stories stories stories
# of bedrooms t
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 a19,5
Distance between structures. ti
Indicate North. ✓
Fire Number:
N ;�-/90 JWW,3a A) ReA1)
Signature "wner
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
C�
#4. N /P?
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
3 63 10 A)t w c,)A, lake/river
_--
------- centerline of J O o� S6 4 i Q road-------
Issue Date July 23, 1999 Expire Date July 23, 2000
Office Comments:
Signature of Zoning Administrator