HomeMy WebLinkAboutPermit Building 1974-11-20
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" COUNTY SPECIAL 1ER~T AREAlANE ~
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o 11J).tJ:' AR'lMENT OF ENVIRONMENTAL MANAGEMENT
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APPLICATION FOR BUIIDJN; .t'hKlvIIT OR MOBILE HCME USE
NaTE: 0 No perritit :/;vill be issued tmtil this application has been approved.
I~~~TION ~Ae,T b~ .R:~Lt LlM!;.o-ru ,.. ~AMel=A~oM ~Ab -l~FT
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ON &AME FA.~M - RIG..W-r Of\} DEAD MOrvC; F=ERItV ~ Rb- RI&H-T olV
'BAL.-bV . VlEw L.ANE eo. NE:X.iTO L..AC, T 'DR\ VI:. WA\,' ON lJ::.t-1 - ~T 10 60x 25,
'- 1WP-po' ~E'~. SEC.j,. ~3 TAXWTlt [oDD. CODE?!-oi/CENSUsu~5/-~DjJ~
'l, LOT NO.... BLOCK ii SUBDNISIQN ' '0. / ..'.'
~., . . 'i:, " ' PRu.t'EK'IY SIZE I 0
: ACCESS' TOPROPERTI OFr BAJ..bY Vl:e:-w LN.WIDTH "lO'f,z,,'DEYHI 14/7 OR ACREICE lot
, DESCRIBE EXISTIN; STRUCIURESO~ 'IRE PRu.t'lliJ.'Y /-I-ov5 e t G..,c),1t4&aB ~ Pr.l~f> ~ufS:
APPLICANT '. ".' ':' MAILIN; I 4 ,.,
NAME l~K'ANbA LL. 82Atv"h, ADDRESS'RT 10 "SO,; 2.Si PHrnE 7"lp- . 94~
\CX)N!'RAl;lUK . . .1.1 '. ' MAILING 6J t...eIVE 0 RE . t{7.d/i?/
NAME. S AMeE. iI' , ADDRESS PHONE
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.t'liliMITif ~94/ tf-} l/
Building ., '. /
Mobile Home.
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BELOW FOR OFFICE USE ONLYidbpnb~~~A~~h~AA~~~A~~h~~~~~~~~h~~~~~h~hhhA~hh~~A~~A~dnrA~H~A~\~~~~A~~x,
. Min. Septic tank capacity
with dist. box: ' Gallons
Structures to be bwlt/Mobile ~ " : sq. ft. Itbedroarns
/7~r, ~4z ov a L?~~" /Y I./x......) U
.-(7' , vrlit~(7. ,. /
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LANE Cf>TTl\TTY ~PT-i'("'I"f 1t:I. Dt;'D1.'fIT 1t nv 1\'
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::)ewage J)isposal: / I,
Site Inspection if AI A7 ExiJting sewage disposal' system 0 or new system required 0
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'W.ater Supply: / II
Public 0 District Name I, Well p\.Spring 0 Other,
Bldg. /d I () cJ ~ees.' //
Waste Dis.' " ~h]:nbing Installed by ();.mer Other Name: /'
Plurrbing , . Pl~_Fees Sewer connection /Water connection
PlanReview I.. .. if of fixtures inspection fee /. inspection fee
Trailer I .' . ~
1% surcharge, 0 Cagll-. . . 0 Plans fumished . Facility Pennit
[Z}ffieck tp'-otyes~No D. .-:""") Yes P NoJRL. ' '
.. . " Signatur: of ApPlicant~ ./~' date7,;L/.r--'i
/0/ 0 {)', Fee recelved by 1// dateA/-/,f--7)"
. Drainfield required ./
Lineal Feet , 7ch Depth
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T:fpe of : Structure J ~ AI Occupandv----..---J' Fire Zohej / Use Classification
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Blgd. setbacks-ft. from center liof road right of way
Front ~~. Side Int. 5i -5idc= MceJ:.~ Rear 5 Zone At;;"
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p~ U/K!h4- date~~/I/;r/1b(fs~~~ //-~O-~;
valuation
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TOTAL
or Sq. Ft.
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C55-12
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