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Plb. # 60 <br /> 1/78 <br /> PROJECT DETAIL DATA SHEET <br /> NAME OF BUSINESS L_k-Ac, , y <br /> LEGAL DESCRIPTION L-ot 3 CSm V o -?� n5�{�57 Su)Yq�E'ly ,Ilo Toon �I'1 u�,Sc I vu a7 <br /> OWNERscH _ MAILING ADDRESS _ztS`lo9 Cc� TzA tf <br /> u)rJoSTt#' o; ZIP 5W893 <br /> ARCHITECT, ENGINEER, M & K ADDRESS <br /> PLUMBER OR DESIGNER SEPTIC& Irl--- --- N <br /> HCR 59, Box 478d Z I P <br /> Spooner, M 554801 <br /> (715)835.748kLEPHONE NUMBER <br /> 1 . Check appropriate building usage(s) and fill in the information requested opposite <br /> each usage listed. Please consult Section H 62.20. <br /> Existing building New building �;�11G _ Addition <br /> ( ) Apartments and condominiums . . . . Number of bedrooms <br /> ( ) Assembly hall . . . . . . . . Seating capacity _ <br /> ( ) BarSeating capacity # of meals served <br /> ( ) Bowling alley . Number of lanes ( ) With bar <br /> ( ) Campground and camping resorts . . . Number of sewereUsi`tes <br /> Number of unsewered sites _ <br /> Total number of sites <br /> ( ) Camps . . . . . . . . . . . . . . ) Day use only Number of persons _ <br /> Day and night Number of persons _ <br /> ( ) Catchbasin . . . . . . . . . . . . . Number <br /> ( ). Church , . . . . . . . . . . . . . . ( ) No kitchen Number of persons <br /> ( ) With kitchen Number of persons _ <br /> ( ) Dance hall . . . . . . . . . . . . . Number of persons <br /> ( ) Dining hall . . . . . . . . . Number of meals served daily _ <br /> ( ) Dog kennels . . . . . . . . . . . . Number of enclosures <br /> ( ) Drive-in restaurant . . . . . . . . Inside seating capacity <br /> Car-service -- Number of car spdces _ <br /> ( ) Dump station . . . . . . . . . . Number of dump stations <br /> 04� Employees ( total of all shifts) Number of employees J— _ a0,5. <br /> ( ) Hotel ( ) Motel ( ) Cottages . . . . Number of ,Nnits with 2 persons per unit <br /> Number of units with 4 persons per unit <br /> ( ) Medical and dental office bldgs. Number of doctors , nurses , medical staff <br /> Number of office personnel _ <br /> Number of patients <br /> ( ) Mobile home parks . . . . . . . . . Number of sites <br /> ( ) Nursing homes . . . . . . . . . . . Number of beds <br /> ( ) Parks . . . . . . . . . . . . . . . Number of persons_ ( ) Toilets ( ) Showers <br /> ( ) Restaurant . . . . . . . . . . . . . Seating capacity <br /> ( ) Dishwasher an or disposal? <br /> ( ) 24-Hour service <br /> Retail store . . . . . . . . Total number of customers 20 0I.S = �5 <br /> ( ) Schools . . . . . . . . . . . Number of classrooms _FT Meals ( ) Showers <br /> ( ) Self service laundry . . . . Total number of machines <br /> ( ) Service station . . . . . . Number of cars served dais <br /> ( ) Swimming pool bathhouseNumber of persons <br /> ( ) OTHER . . . (Specify) . . . . . . — <br /> COMPLETE OTHER SIDE _ 41312 <br />