HomeMy WebLinkAboutMiscellaneous Miscellaneous 1969-1-15
HOLES ARE READY.
RECEIPT No. bcl7a ~
e
REQUEST FOR SITE INSPEC~ONJ
BY
Is
TWP. 1_ RANGE S3 SEC. .,., ....
TAX Lof NO'-5+a: CODE-CC'~
DATE 1-1:; ~9
I
MAILING ADDRESS 2Q70 Havden BrldQe RdTEL. ND.~~_~~~~
- Th""",:?c;nn. M
0>5:>' (;aMQ..., FO\.yWl 'I'riR!lflG".... 1\..gOA
80 lC 200
OCWNER OF PRawDPERTY? ';~;_..I.(.. \:l-tftes~UE OF PROP. ~li.. 13r- LEGAL ACCESS? .\ '. ;1& 't!. Rd. 3
ONSENT OF NER... fs PROPERTY CONT I G'UuUS 0 ANY CITY L I M I 17' u^
EXISTING STRUCTURES ON'~~OPERTY XST.=
SOURCE OF WATER SUPPLY: PUBL~~lnbow SPRING
WELL: DRILLED
DRIVEN
DUG
DESCRIPTION OF SITE (DIRECTIONS, LANDMARKS,- HOUSE OR BOX NO., 'F ANY):
lot Jehovah's Witnesses, Minor Subdivision
Owe I J Ing
PROPOSED USE OF SITE (E.G., NUMBER OF DWELLINGS, COMMERCIAL OR INDUSTRIAL USE, SUBDIVISION):
LlL7 URBANIZING AREA.
~ SPECIAL PERMIT AREA.
FEE:
No. OF SITES-JL- $ c nn
No. OF ACRES
TOTAL- $ c nn
HT/kc
-rwr /7} P.
Tt0u in- 0/<"0
/~~/(v!/J;~ (ff
~t'1P- ~-ih_
() '3) 5e..e..2 2 ,5<' f?
/ J /1-;' In/If'~ ~(~ .~. .
drJ'e.-- ~I:'c lu..l( fstz~UtfM
RESULTS OF INVESTIGATION:
Lot I Jehovah's Witnesses, Minor Subdivision
-
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING
PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK:
BEFORE CONSTRUCTION IS STARTED BR'NG THIS FORM TO THE BUILD'NG AND SANITATION DIVISION AND
MAKE APPLICATION FOR A BUILDING PERMIT. IF THE PROPERTY IS A PORTION ONLY OF A TAX LOT, A
METES AND BOUNDS DESCRIPTION OF THE PARCEL MUST BE FURNISHED. EXACT SPECIFICATIONS FOR THE
SEWAGE DISPOSAL SYSTEM WILL APPEAR ON THE BUILDING PERMIT. Two SETS OF THE BUILDING PLANS
AND PLOT PLAN WILL BE REQUIRED.
JI?/!by J
I jE
THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INSPECTOR AND SANITARIAN.
U~097.07