Laserfiche WebLink
1 2. New BuildingDetails - No. Bathrooms -- -- <br /> 1 <br /> New Building Typg of ons uction: No. Bedrooms ,,;... ° <br /> W �r 0 <br /> Addition ._�y' •• g a f•ra_»tr Septic Tank Size Gals. .5. .`.'., ?'-- '• <br /> Sanitary ' Size ....t3..?.... ft. x ......3 D.. ft. Drr w.11 00 < <br /> FWingf Gratling Height.....;......, Stories ...).......:.. 4a. Absorption Field Site: <br /> Moving Area �.4 ..< f Soil Type .................................... <br /> .... ... {. ... .. ......... <br /> Mobile Home V <br /> : <br /> Prlvy - 3. Use. (describe exactly, t -family Perc. Rate ................................... <br /> Well hqme,garage, motel, etc.) Dry Well <br /> Subdivision L . r <br /> Camping Unit • •4;•t l• . ....r,gp•wt f of r`c, Seepage Trench <br /> P 9 1/ ... <br /> Privy <br /> ______________________________________ Seepage Bed .......... <br /> Location of proposed structures and existing structures,well,sewage systems,roads etc.,should be sketched in Fig. A. Include road N <br /> om all bodies of water. IfCr <br /> section, show the intersecting highways and the setbacks required along them and at the intersection. CLEARLY LA <br /> setback, side and back yard dimension and location and setback frBE property is located at a <br /> hwEXISTING a <br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS. <br /> _________________________ _______________________________________ N <br /> 5. Lot Size: 1� <br /> O ��� Fig. A. 6. Location: / _ p• <br /> ....�.� a.... ft. x ...y o.�. ft. — sq. <br /> k. t. <br /> if+roM 2d. `. /. ....s..� <br /> 15 <br /> N 0' <br /> O <br /> f <br /> Shed •�� jT �� <br /> shF4' � t1r <br /> 2 2� <br /> :E w to z <br /> r- <br /> _ Add��io Ca .q�'�l ' •^ Io I 0 < <br /> � aC" FL <br /> o ` Z oH: ffi : ` yvr <br /> �8C C IZ o o ' <br /> n <br /> �� Ia - <br /> 00 <br /> 'J' .. ...... <br /> . ' . <br /> ..... ...... ... +rte . \� � � � I <br /> .......... ................................ .....31..x/ . <br /> Signature caner or Agent "'��"'I�""""' D : � : : : : f <br /> Date o t <br /> Remarks X <br /> ......................................................................................................................................................................... T <br /> r <br /> m C <br /> . . . <br /> Inspection Date .................. . . I ' <br /> . ................... <br /> ...... ............... ......1.5....... . . .... . . <br /> .... N N � � i N r <br /> tnN O7`��0� <br /> Zoning Administra r .�/l� $ 8 g g11s C <br /> NOTE: A preliminary site inspection must be made and site approval granted on all structures involving sanitary facilities - <br /> before construction can begin. In the case of sewerage disposal systems, a copy of the percolation test must be attached to <br /> this application before a permit will be issued. Do not purchase or install aseptic tank, do any plumbing or start any build <br /> ing until a permit has been issued. A permit may be revoked if misrepresentation of any of the information conveyed here- <br /> withisfound to exist. Changes in plans or specifications shall not fie made without approval of the Zoning Administrator. <br /> SEWER SYSTEM SHALL NOT BE COVERED UNTIL INSPECTED BY THIS OFFICE AND APPROVED. <br />