HomeMy WebLinkAbout014-842-31-4106-LUP-2000-543Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. ' I� r �.S 7 /�Y #2. 1�+-RACE 93.
Size�y _ ft. wide ft. wide ft, wide
44 ft. Lang 2—k. d ft. long _ ft. long
Floor area sq. ft._ sq. ft. sq. ft.
Hgt. from grade (p I to peak I ft. hgt. ft. hgt.
Stories
# of bedrooms
In the box sketch in:
Location and size of all
existing and proposed strictures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands
Road
Lot lines
Septic system/privy
Well
Distance between structures.
Indicate North.
Fire Number:
Kj let-110
Si0nature of Owner
The above certifies that the listed
information and intentions are true and
correct. The above persorL/s/ hereby
give permission for access to the
property for onsite inspection.
stories
rear lot line or waterline of
_Q
------- centerline of
1 o %t 4,
stories
s <\
#4.
Oft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
road
Issue Date September 27, 2000 Expire Date September 27. 200L
Office Comments:
Si"nature Administrator