HomeMy WebLinkAbout022-739-09-1104-LUP-1997-255Application for Land 'Use Permit — Page 2
Describe Construction: List dimensions of a ch fracture, story, addition, or alteration.
#1. dct7 #2.
dG xr #3.
Qa Vrcq � #4.
Sized ft. wide 3y
ft. Po N z (o,
ft. wide
ft. wide
9 ft. long / o
ft. long a%4 2
ft. long
ft. long
Floor area 3 N q sq. ft. 00
sq. ft. �� S G 7
sq. ft.
sq. ft.
HgL from grade 12 to peals d
ft. hgt. 12-
°� L
ft. hgt.
ft. hgt.
Stories I —
stories 1
stories
stories
# of bedrooms
rvaLloUiK or waterline of _ Ck
1 apewa � (a w c, e
lake/river
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:
��iz2L
Signature of Owner
P,
do
�1 d 1L,
4-�4
DWI
�.1 _
�Y-
1
3 b'
------- centerline of (r ,.SIN es^ �(. road-------
4c e ess
Issuue Dat 08 JU V. 11997 Expir 08 .h71ly_ 1 99R
I�3evi5c.G( 04Cc.P, `�D 0.
Office Comments: I6 kao Scre ei ed otc'�
US �e-