HomeMy WebLinkAboutBuilding Miscellaneous 1978-4-24
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Written Directions ~ i'lL. A
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INFORMATION SHEET
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(t) Building Permit
) Site Feasibility Study for Septic Tank. Number of sites
Acreage or Lot Si70 Test holes will be ready
Partitioning #, ( ) Completed Subdivision
( ) Pendin9 I t ,1 (J,
APPLlCANT'SNAMEANDADDRESS lU~ . J..~Al 3.73 ~_~a.
OWNER'S NAME AND ADDRESS, if different from a licant-f II '~~ .
.NTRACTOR'S NAME AND ADDRESS
il permit or results of site feasibility stu;!y to ("1\APPlicant ( ) Owner ( ) Contractor.
.I Prefer to pick up. Call 7)..(.., - ISO 3(--1//( owner, etc,) when ready,
STRUCTURES NOWON THE PROPERTy.=-il,:....:"'.I,.. - ~'~-A;,-'~ ~
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PROPOSED USE (this permit) ~ /t../-..::,-"(, M I.:J-.
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Lot
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Block
Phone 7~b-I{,Of
Phono
Phonp
Oontractors O. S. #
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(existing or proposed well, etc, If public, name of system I
WATER SUPPLY_
SEWAGE DISPOSAl ~~--' ,~.J
PLUMBING BY fJu-LA;t~
) PROPERTY IS WITHIN ONE MILE OF CITY (
(existing or proposed septic tank, etc,) S,I.;=
Address ,~ Otl./un a. ~.M.-.og..oLl
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) Special Permit Area,
Minimum Elevation:
+++ **** **** ******** **..... ****** ******'******* OFFICE USE ONLY BELOW THIS LINE *****.... **.... *.* **.. *..* ** ."'*** it **.*.... *......................
I) New Address Necessary ( ) Facility Permit Necessary
N I' SETBACKS: Front ' Side Facing Street
(FROM CENTERLINE OF ROAOI
Interior Side Yard Rear
(FROM PROPERTY L1NESl
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By
Permit Processing Section
Responso'
C55,12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687.4394
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Division