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HomeMy WebLinkAboutPermit Signage 1988-9-9 ,"\ -/ L' -\ ,,_ Environmental _ Manag '.en't ACTIVITY INFORMATIUN )- ,J I .t% \ \ lane c~unty . SHEET :O~~~~ZION',~:::::E · - ~ ' -, PERSON ~ffiKING REQUEST REJECTED~ r PROPERTY OWNER HAILING AIDDRESS I1AILING ADDRESS CITY STATE ' ZIP CODE CITY STATE ZIP CODE BUSINESS TELEPHONE NUHBER HOl1E TELEPHONE NUHBER BUSINESS TELEPHONE NUMBER HOME TELEPHONE NUHBER <V TAX MAP/PROPERTY DESCRIP'l',ION NUMBE~(frOm tax maps in Department of Assessment & Taxation or from tax statement): Map & Parcel Number: /1 I )\.:s Z't 4- Tax Lot (s) : Z ? () 1 ~shiP Range Section ' o Out of TL # By Partition # Tax Map & Parcel Number of Adjoining Property in Same Ownership: Tax Lot(s): To\Vn,~hip Rang~sectlon o None 0 Unknown (j) SU'lDIVISION 'i< oppliOob10)' 01< ~_. . c:~ BLOCK, @ REQUEST (briefly describe information needed): ---K-. ~ ~ ~!~ ~_ '~:-J j .m 1" - . LOT: ~ COMPLETE THIS SECTION FOR LAND USE, CONSTRUCTION APPLICATIONS" OR PROPOSALS. SEE *NOTE BELOW. **FOR STAFF USE ONLY** 24- ~ CD TOTAL CONTIGUOUS PROPERTY IN SAME mVNERSHI P: acres NUMBER: G) PRESENT USE OF PROPERTY: /\,,, J tJASbVl (A n !C^- iu..~ V Garage Shop Barn DATE: C1~4 ~ I I ~ TIME INITIATED: ~c:>~ CHECKED BY: ~ ' ATTACHED EXHIBIT~ o Plqt P'lans (2) o Constr. Plans (2) o Site Plan o Copy of Tax Map Dother <V PROPERT;c ADDRESS: 'Cf/7 0 .. ( @ NUMBER OF STRUCTURES ON PROPERTY: Standard home Mobile home Modular home RV in use as residence Storage Other (specify) @ ACCESS TO PROPERTY: Public Road Name SCREENING VERIFICATION: Private Road Name By: Road Easement width # of Users Date: @ OTHER EASEMENTS OVER PROPERTY: Time In: Out: (]) WATER DISTRICT:' @ FIRE DISTRICT: o Accept 0 Reject ,@ PENDING PERMITS ON PROPERTY: Routed to: *NOTE: ATTACH A COPY OF . TAX I1AP; SHOW EXISTING , STRUCTURES AND TAX LOTS _ /' / IN YOUR OI'INERSHIP. 013- l 'M' TAIN TAX H]\P IN SELF' '-- ~jC>_p, HELP AREA OF A & T_ ,~ 9/81 REV ~ ~VER) s'C"'\.A- ~.~ CJ0. \ ~ :\ \' ( , CONSTRUCTION APPLICATIONS. 1 i "- COMPLETE THIS' SECTION FOR LAND USE r 49 PROPOSED USE OF PROPERTY IN DETAIL:' " ~ BUILDING REQUESTS: Ii r Direction~ to Site: (for mobile home setup also), Contractor's # Check the type of permit requested: D Dwelling: D New D Addi tion D Replacement o Alteration; , o Modular Horne D Mobile Horne - Model DRV D Standard Construction; [] plan Check Only .' . I D Corrunerci~l: Use, I DAgric;ultural: Use ,Floor 'Area D Others:' Use Floor Area D chcinge of use, -How? ~ NUMBER OF BEDROOMS' Q) SANITATI~N REQUESTS: []Site evaluation for SDS feasibility NUMBER OF STORIES []New system installatio~" [] Repair/:r;:eplacement [] Al teration/relocation [] HO,ok to ~xisting ADDITIONAL INFORMATION: o o Additional; 'Year ~', '" " *FORSTA~F .~- ZONE/LAND USE: USE ONLY** . BY:\).Al ~ Dat,e: Ti~e In: O~t: [] Accept 0 Reject [] Planning Application ';[] Construction Permit App'. o Information Only Zoning: , Compo Plan Designa.tion:__ SANITATION: By: Date: Time In: out: o Acc~pt o Reject Dconstr. pe'rmit Issue o Site Evaluation Issue PERl-lIT ISSUED (SAME DAY ONLY): Permit # By: Date: Time In: Out: : I - ;~ '" ~ ~ )\~~ I , I I " I I! I I I I 1\ I I , , I , I i I' I I I II i I' , I ~~~.~0~> --- , XUX5" , , , , --:- iT .- ~ J-\ ",cx:d \['N/vcA- -- ~04 - \;) {'-f - \ \~ \C::::,~~ .- ---- )( l R,'eCL\~ , -~~~ 4/C+ ~n'~ , , ; i , , , , : I: it , , , I II ! , I I Ii I I , I' , I , , : I I, : i i: , ! . dS S,O~ COK ~ - -..-/