HomeMy WebLinkAbout010-767-00-0300-LUP-1997-382Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. #2. #3. #4.
Size ft. wide ft. wide ft. wide
ft. long
Floor area sq. ft.
Hgt from grade to peak
Stories
# of bedrooms
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:
/11
Signature of Owner
IssueDate 18 August, 1997
ft. long
sq. ft.
ft. hgt.
stories
rear lot line or waterline of
centerline of
ft. long
sq. ft.
ft. hgt.
stories
Expire Date 18 August, 1998
MWIRM
ft. long
sq. ft.
ft. hgt.
stories
lake/river
road-------
Office Comments: