HomeMy WebLinkAbout014-174-00-1001-LUP-1997-416Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1. #2. #3.
Size I (o ft. wide ft. wide ft. wide
ft. long ft. long ft. long
Floor area 3 $ sq. ft. sq. ft. sq. ft.
Hgt from grade 13 `6 `to peak ft. hgt. ft. hgt.
Stories I stories 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:
S' nature of Owner
rear lot line or waterline of Ne l so
#4.
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
Blder/Plber/CST
0
Address
w
Inspection
[ ) Dwelling
( S Setback - lake
{ ) Mble Hm
[ 7 Setback - road
( ) Private ( ) Public
{ ) Commercial
[ ] Setback _ lot line
(j Garage
( ) Soils Verif
Violation
[ J Addition
( ) o 0
(4) %z;pll, of Ganam� U40 �.u,p r0
(✓) Zoning ( ) Sanitation
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WD Vol 481 Records Page 264
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IssueDate 26 August, 1997 _ Expire Date
Office Comments:
26 August, 1998