HomeMy WebLinkAboutPermit Building 1973-12-21
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LANE at kfJ1G PERMIT OR MO. AE
PERMIT TYPE - BUILDING ~
PROPERTY OWNER
S tp-e.zey .
CONTRACTOR / J
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MOBILE HOME Dose REG. #
MAILING ADDRESS
f} R'T J D BC"{
MAILING ADDRESS
A!;O E
USE APPLICATION
PERMIT:#: .Q. LJ 01/ - 73'
PHONE
ha,e.1-'f'. 726 '10)'
v PHONE
PROPERTY lOCATION -INCLUDE POST OFFICE
54rl<t...
PROPERTY LEGAL DESCRIPTION
LOT - BLOCK - SUBOIV.
TWP RANGE
METES & BOUNDS 0 YES
ATTACHED n NO
/r"J
c,
SEC.
1<
TAX LOT #
1-/ Db /')
NAME
AND
MAILING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
36'3
CODE CENSUS TRACT
OD'-(-PL( ;Z1-E:llIQA
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
J..I~sP <>lJI<pp-SQ2-T
lE~l A,^ESS TO PR,RPERTY": ROAD NAME J.R 1/
l!€4AJk\ptJd/ fC,ee,y /rPt.
PROPERTY SIZE-WIDTH 06fTH AREA
APPLICANT
.:1A()-1..,..
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT.
or New System Req. D
# BEDROOMS VALUATION .
OWNER n OTHER 0 NAME
PLANS FURNISHED FACILITY PERMIT
YES 0 ""NO 1!3"" ~Y NO 0
SIGNAT it. OF APPlIC N. DATE
. J?.-GI . '/C.:U;yt /~/ ~
Fa; REC VEO BY' {; 0 (J bATE
c;R' /;z) 1"11'73
PERMIT #
'.)..40'(- '73
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIE(D REQUIRED
lIN. FT. / ~() TRENCH WIOTH FT.
/6/)/ -PD....... c;~
_ FIXTURES
CASH 0 ~ER
CHECK~ CONNECTION FEE
PUBLIC WATER
CONNECTION FEE
P.oEl./ll'I/?" / Rp.olazc-e
I '
.EK\':;T/~~ Syc-r-"<.J<--1
SEWAGE DISPOSAL
PUBLIC 0
BLDG.
WASTE 015..
PlUMBING
PLAN REVIEW
PARK TRLR.
SEPTIC TANK ~
PLUMBING INSTALLED BY
I
-1 ~O< 00
FEES
OTHER 0
WATER SUPPLY
PUBLIC ~
PLUMBING FEES
OTHER
TOTAL
:2..0.00
MIN. SEPTIC TANK CAPACITY -J-
. - (
WITH DIST. BOX: GAl. f '1-, <' S
Jrc.e.r
SLJS
:1...
I
Lue..1I I
/
OR SQUARE FEET.3 b 0
TYPE OF STRUCTURE
OCCUPANCY
/
j ZO':;E
/
REAR I
Date BLDG. INSP.
J. ~Il. ~;, bJ W""4fl.f.
REAR YARD
PUBLIC UTll. EASEMENT
BLDG. SETBACKS - FT. FROM CfR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
Do.!2:~::: p:~~~:77 ;lANNING
USE CLASSIFICATION
Date
,~-~). ))
COPY 1 - OFFICE
COpy 2 - JOURNAL
COPY 3 - AUDIT
Form # C55.12
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