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<br /> 4. S{lnitaly acilities: o o i\
<br /> t.Work:- 2. New Building Details NO -Bath �... J c ~
<br /> New Building f(,,,•• Typa of Construction
<br /> BedrQpms .
<br /> Addition . .,, � A? ....�60pt4c Taj*.,,.Size Gelt. O
<br /> Sanitary .1.(...... - Size rY ft.x .... ft.,..w « ,•w+«r. .,..._.� :ate
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<br /> PuunglaradingHaight............. Stories......... .... 4e:'AbsorptlopiCFleld Site. En ? i
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<br /> Moving Area SoilTypp'.................................... `
<br /> Mobile HomeSlope .....,
<br /> Privy ... .... 3'. Use (describe exact •family Parc afiats; ..................... E
<br /> Well D� ho 8,garage,motel,a o. Ory Well ';
<br /> suDOlvumo .......... •
<br /> ,ws,�rft!.S?.fic..7"•................ Seepage Trench ..........
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<br /> Camping Unit •• Psi '
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<br /> k Seet�age'Bad' N
<br /> Location of proposed structures and existing structures,well,sewage systems,roads,etc„nter.should beskalc. , in.,Eip. A. Include road 4
<br /> setback, side and back yard dimension and location and setback from all,bodies of w )f property isdoCated.at a highway inter-
<br /> section, show the intersecting highways and the setbacks required along'them'and at,the..Inteneadons:CLEpS.L'Y.LABEL EXISTING w
<br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS.
<br /> 5. Lo Size: �"------ i
<br /> Fig. A. 6. Location:
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<br /> Signature oOgywn�er or Agent
<br /> Remarks 1..X.G�.,er[•• Zl`Gl's' 4 {i + x' bt. 1.'f r x 70
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<br /> Ins coon Date "*`
<br /> RI t s aIoJFI'�M
<br /> NOTE:, A`preliminary site inspectiontm be made agd"site1
<br /> fl 4.ysog•sanitafy facilities
<br /> before construction can begin. In'the;.case of sewerag ;rel sys ion'test"must be attached to
<br /> this application before a permit'willybe,itsued. Do not puralretewr�l plurrtbing'or start any build-
<br /> ing until a permit has been issued. A permit may be revoked if misral. '
<br /> av11i e formation conveyed here-
<br /> with is found to exist. Changes in plans or specifications shall notbb'madplygfl alb;-the Zoning Administrator,
<br /> SEWER SYSTEM SHALL NOT BE COVERED UNTIL INSP1FCl4eD,40 _ hS.'.O' FILE AND APPROVED.
<br /> LOt'3a A ilh.n ..�YipA���ner en,. ` iJwRr t 4 n�y,�v,=; Ih
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