HomeMy WebLinkAboutPermit Building 1975-11-17
CONSTRUCTlON
~
PERMIT fl. 30s~ -
4BE ISSUED UNTIL THIS APPLICATe HAS BEEN APPROVED 7 r
APPLICATlON FOR: &lbi G,oJ'V'..O..-- ~
MOBILE IIOME c:J PLAN REVIEW c:J CHANGE OF OCCUPANCY C=:J
NOTE: NO PERMIT
96
c:J OWNER..:J ~iu1 ~,jd ,'{l.-. 1(0 7 ~l<-"d / /V)~/. I?;:/; -J"/../J.v.-.'j 4t.1tf"
Name Address City ---t.I Zip
CONTRACTOR 1I~11-1'~ /'''''1 .d,J.~ 1,6.... Co -< <:);1(1 tC,...r~'t{/f,( Jt
Nam, Address City
72t;, ~7;n (,
Phone
Zip
lit ::1-72~"
Phone
'lWp. 1'7
00000 /q gJ
Range 03 Section '2:2. L/-. Lf
Tax Lot
(:,()O() Code Olq~().3
Census Trac t
O.S. REG. II
Subdivision
Lot
Block
Property Acreage
Width______Depth
ACCESS TO PROPERTY (Road Name) ~Ae- TO/U'm 16.",./
Existing Structures on Property: hr:x,c,p J C1fl^111'O,
Property Location - Address/Directions: O~ \~ II tr) ~ ~;;..} 12n4/".l
7/11 ~_
-tv Jl ,h'/ \..e..J2...+ aA-
Bldg,
Below fo r Of f ice '!se OnlYXXXXXXXXXXXXXXXY!!EEE.xl.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxx'~r~r'r'nr':x'nrxxxxxxxxxxxx
Sq. Ft. #Bedrooma Valuation
.:JfoO ~ 11..IO / L.{.../ X' c,. nn
/
/
/
/
Existing Sewage Disposal System ~
c=J/
, "
Community ~
/
PLUMBING: /
Installed by Owner ~., Other c=J Name
PLUMBING. Ff-ES:/iiJ 3
~ ~f F1 tures Sewage
~ Connection
--.1 . 3.1.. /
r l15". :~:u ~. ::::K
/
t1d,1 i +1 nV'\.
SEWAGE DISPOSAL:
Site Inspection n
or New System Required c=J
WATER SUPPLY:
Well
Public
Spring
Other
Name of Community or Public System
FEES:
3;)..00
Waste Dlsp.
Plumbing
l.:l.no
~later
Connection
Plan Review
Mobile Home
Y Surcharge
PLANS FURNISHED
FACILITY PERMIT
TOTAL
~S c=J N~' YES c=J. NO
.' .
Signature of Applicant. _ ~!.ufte.-e~ S /~ut}!<,:t.4._
Fee Received By: U.J~......~Date: If -In -7<:-'7
Min. Septic Tank Capacity
~ _ cJ.AJ J1.ATf:' .i? ~
dA 11' "'t.),,- .
~Drainfield Required - Lineal Feet
i'J"+Iv.-:" ,S{ -j ~,=--i-c>v..L {'A
Maximum Depth
(Ahf~ i{)( B
Type of Construction
__ f
1..' IV Group
/
Fire Zone
Use Classification
,
BIdg Setbacks - from Center of
Front 1.5""- Side Int.
Road Right of Way:
~ Side Exterior
J/(/'
Rear
-
'-~
Zone
,~ ;().
PlANNING: DATE:
141~ IJ~. 7!J"'"
Wr" - .
C55-12 LANE
SANITATION: DATE: j nL . BUl}.DJ;PG:, /.-# DAT!: .-
~/.y..(J~f/-/4--'lf-1f13 ~f:$ 0-/ /-76
COUNTY DEPARlMENT OF ENVIRONMEN.,{L MANAGEME~