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HomeMy WebLinkAboutPermit Building 1976-8-10 NOTE: ___ . PERMIT iF/lJJI-~?3--7~ NO PERMIT WWBE ISSUED UNTIL THIS APPLICAT .HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION c::=J MOBILE HOME ~ PLAN REVIEW c:::J CHANGE OF OCCUPANCY c:::J c6 OWNER Ma,..., 'l. '1 I.. . l3 Pa... c.-4 /755 Gu.~.:T,'s t;" Je.., " 971./0} 'f((,s-- 00 If'f Name Address City Zip Phone c=J CONTRACTOR Name Address City Zip Phone O.S. REG. II ACCESS TO PROPERTY (Road Name)~ttl1"1e_ ~I'\'" RDcui Existing Structures on Property: N f"j ne- /. Tax Lot _< 7 D 0 Code d'~ 2.. 2- Census Tract pro~y ACreage,J~ 3 I Width_Depth 3':l3b /7 PropertyLocation-Address!Directions: S,C ""nt-ne..- or:- J}~~h10H ciS' Fe,..,. V fi!,/ and G;a.11'I e Fa.... I'n R.J L /J ,J ' 3' S 3 S- ~ _.p f;~! !<t?~)' .?: ~~ q-J~D I Below for Office Use OnlvXXXXXXXXXX . xxxxxxxxxxxx~xxxxxxxxxxxx~_ ~" ,} L /. / Sq. Ft. /I I/)Iedrooms Valuation /' /Z.?.//' _ L/'h A4L/ A; " 11.:l . - . - d .-!kAZ;fAf ~ (~~fJ)" Tw-p. /'7 . Range .3 Section /< Subdivision Lot Block FEES: PLUMBING, Installed by SEWAGE DISPOSAL: Site Inspection u7A'...,<;""7S- WATER SUPPLY: Well Spring _ Other Community , stem c::=J or New System Required .~ -- Name of Community or Public System ~ er c:::J,lli Other c:::J Name PLUMBING FEES, Fixtur:~, s Sewage !J Connection A \ "I \ I' " I' i , , , r ~ I Min. Septic la~kr~acitl 7i"7"J , ;DrainUelj R~ff~4t /(70 ' Maximum Dep~_?.6 .!J'/J.,Hf}eld mho. JcYA~:.;T; " fflO/:u./t> hl)~ Sfu<'. Bldg. Plumbing $/, tJO __L./ .:l.. .:? .;; Iff2- Water Connection ;;2, 3 % Surcharge Waste Disp. Plan Review Mobile Home :'30, ern o CASH ~ CHECK ~~~RNISHED FACILITY PERMIT ~ YES c::::J NO c:::J YES~NO Signature of APPIicant;~<?4(;'",C~ 'J!ad, Fee Received BYS/~ Date, -9-7t:: TOTAL ll3.ff. I 2- ~ ~c.66. Type of Construction Group Fire Zone Use Classification BIdg Setbacks - from Center of Road Right of Way: F ~ I Sid I /5 ' .. . - . ront ~ e nt. ....___ _.._____OG4!> Rear ~. Zone ~T 't.O ~q-7(_ , , C55-12 DATE: 1~:JJ;,<~8jfh ~~ COUN~1MENT OF ENVIRONMENTAL MANAGEMENT DATE: -;t- /CJ-7 ~ LANE