HomeMy WebLinkAbout032-538-08-4101-LUP-2000-051Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. c.� #2. #3.
Size_ r D-- ft. wide ft. wide ft. wide
ft. long ft. long ft. long
Floor area 3 �' sq. ft. sq. ft. sq. ft.
Hgt. from grade to peak ft. hgt. ft. hgt.
Stories stories stories
# of bedrooms
rear lot line or waterline of
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:
0 E.37w r)&L-7
Signature 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.
IssueDate March 23. 2000
Office Comments:
1-3.2U1
#4.
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
__________ CL road
centerline of
Expire Date March 23, 2001
C�
Signature of Zoning Administrator
road-------