HomeMy WebLinkAboutPermit Building 1974-4-11
/.. PERMIT
I PROPER..p:.pV~NER '
, 10YUC<?
CONTR~CTOR
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PROPERTY LOCATION - INCLUDE P, OST ~FF'1E /
/W ..L5n;?)J(c-I,.:,/p. . /Ire
PROPERTY LEGAL DESCRIPTION :r-.' L ".J ,/
LOT - BLOCK - SUBDIV. '. -r I r:::'7 C-U::r.-cx 10 1;;A/v'YI d4'JJ ~
TWP RANGE SEe. . TAX' lOT #:
17 5 :3 cJ:l ~ '!: 'L /?I I) 0
/~ 13-vJ (~
13 Yorl)1 ~t
LANE COUNT UILOING PERMIT OR MOBILE HO..._ USE APPLICATION
TYPE - BUILDIN~ MOBILE HOME Dose REG. #
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. MAILING ADDRESS
PERMIT #
$"3s-7f/'
~q~f-"..#
/
PHONE
7;;zt -7PL
PHONE
k'(7bVt.-P
/
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I .
METES & BOUNDS 0 YES
ATTACHED 0 NO
AND
Arc:.
97 S/O J
, CENSUS TRACT
CJ/{?- /},'~ -::2/ - cd {<;113
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
3 Bpj/t?)dVYI I-kYVi.-'
lEGAL ACCE,SS TO JROPERT~ - ROAD NAME OR #
Bt?;tJ}( ck Ie !Iv e.
PROPERTY SIZE-WIDTH DEPTH
tf"Cf I' / :5 (0 '
AREA
CODE
APPLICANT R
NAME -1-' Jvor.e
flo Vt
MAILING'
ADDRESS b-q ~ () y e9 dYf
FOR MOBILE OOME PERMIT ONLY I
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
~'~rFY7 ~J)~/J~:;:,
Connect to Existing Sewage System D or New System Req. 0
TYPE CONSTRUCTION / ' SQ. FT. # BEDROOMS VALUATION
///oo/)~d~A"~ '296 t!!2 /J.iJ/J ~5SJ.ct>
). ~ ,
SEWAGE DISPOSAL
PUBUC 0
BLDG. $
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRlR.
SEPTIC TANK 0
.~. .00
FEES
OTHER 0 (lfIJ/J-
WATER SUPPLY
PUBLIC 0 nJJ OTHER
PLUMBING FEES
_ FIXTURES
PLUMBING ,INSTAllED BY
OWNER 0 OTHER 0 NAME
PLANS FURNISHED
YES ~ NO 0
SIGNATURE OF APPLICANT
j,
FA,Cll~!J;(f~ERMIT
,:;fJ:
YES ct~. ~O~
DATE
f1/J
FEE RECEIVED BY
.y:.. ~-7?-,
N$-
tJ/f-
DATE
o/-9-~
TOTAL
26.00
I(/~ f- h <s J0a~ j---,:>{3 . h~fA}
. J
DRAIN FIELD REQUIRED
. tIN. FT. TRENCH WIDTH FT}l
t
o,iJ!
(V
Ceh S f,
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
TYPE OF STRl,JCT.U~E . -5 P OCCUPANCY
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY I
FRONT- qS I SIDE INT. 6' I S~:'~ .EXT.
J~ tt/tDhr ~;;;20L <f-1--;
Directions to Find Property:
ZONE
~-r
REAR YARD
PUBLIC UTll. EASEMENT
USE CLASSIFICATION
,.
REAR (...-, p.u'f .' '_
BLDG. INSP, JJ L,I') ,II, /} d, ~, , ' .'
~V./ tY~LtJy t0f' t/'=Il v 117 ;/,/'
r - I. =-. , ,-
Dale
COpy 1 - OFFICE
COpy 2 - JOURNAL
COPY 3 - AUDIT
Form # (55-12