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Plb. N 60 <br /> PROJECT DETAIL DATA SHEET 11FCF/ <br /> 3/70 �fq y"p (�. <br /> NAME OF BUSINESS �jrj t4 <br /> _� Sr `s°1f1� �''f�'^,�g - <br /> LOCATION �—Abc LAW& — –,�k.¢NE,t•-T– SECT/UA, <br /> street or highway city or township county <br /> LEGAL DESCRIPTION(SE V4 cc See (j - SW Vgo_SEC. 12. -" 37 _R,(_g___ <br /> OWNER W%Scz"sW `ow FE NCE of Mailing address �r 1—rscXpE,2tC— <br /> � <br /> _�_ <br /> Man+c>t>�SrC+t�•eGHEi WtswNs�nl ZIP <br /> ARCHITECT OR ENGINEER Address _ <br /> / 1 ZIP <br /> PLUMBER V��►r (AiMoC>N (�' Address 2r 1 LL cy— <br /> _�rJ i Sw.a S e 1-j 21 P S % 3 <br /> L. Check appropriate building usage(s) and fill in the information requested opposite <br /> each usage. listed: <br /> r <br /> Existing building New building Addition <br /> If addition to existing building attach detailed memo for each. <br /> ( ) Drive in restaurant . . . . . . . . . Car spaces <br /> ( ) Restaurant Seating capacity (10 sq. ft./person) <br /> ( ) Dining hall . . . . . . . . . . . . . . . . . Per meal served Toilet waste Yes No _ <br /> ( ) Motel ( ) Hotel ( ) Cottages . . Number of units : 2 persons/unit <br /> k 4 persons/unit TOTAL NUMBER OF UNITS <br /> ( <br /> AqgWNumber of persons Kitchen Yes N� <br /> ( ) Bar or cpcoai4l lounge . . . Seating capacity (10 sq. ft./person) _— <br /> '( ) Nursing or rest home . . . . . . . Number of beds <br /> ( ) Mobile home park . . . . . . . . . . . . Number of units - dependent (camper trailer) <br /> - nondependent (mobile home) <br /> ( ) Retail store . . . . . . . . . . . . . . . . Number of employees <br /> Number of customers TR sq. ft./person) <br /> ( ) Service station . . . . . . . . . . . . . Number of cars served (daily) <br /> ( ) School . . . . . . . . . . . . . . . . . . . . . . Number of classrooms Meals served Yes <br /> No _ <br /> Showers provided Yes No <br /> ( ) Factory or office, building . . Number of persons (total all shifts <br /> ( LApartnmTqtis . . . . . . . . . . . Number of bedrooms <br /> Other Hsk " 1. ".v L$ . . . . . . Spec fy AC <br /> 1f J. <br /> C9�Ps v.y .vs oir%.yam cc . 3� cs <br /> 2. Indicate whether or not the following �f�Gilities are connected:/ dt <br /> Food waste grinder Yes No _✓ Dishwasher Yes ✓ <br /> Automatic clothes washer Yes No ✓ Automatic potato peeler Yes <br /> Other . . . (Specify) —i No <br /> 3. Fill in the appropriate information for the following as indicated: <br /> Septic tank capacity planned `J00 <br /> Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET <br /> COMPLETE OTHER SIDE <br />