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Plb. N 60 <br /> 1/78 <br /> PROJECT DETAIL DATA SHEET S 9 0 - 2 0 0 9 1 <br /> NAME OF BUSINESS I-."tpste Pne5 —r;WX✓1 <br /> LEGAL DESCRIPTION <br /> OWNER ,io. ( 4 ws�r�ex _ MAILING ADDRESS .Hcz Efi <br /> spoonev �(J, ZIP 5H;801 <br /> ARCHITECT, ENGINEER, f>1e_0+0 :1 ADDRESS o. 12,xC7I <br /> "PLUMBER OR DESIGNER <br /> Lj . ZIP 6+x801 <br /> TELEPHONE 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 Addition X <br /> (X) Apartments and condominiums . . . . Number of bedrooms ++ <br /> i ( ) Assembly hall . . . . . . . . . . Seating capacity <br /> ()() Bar . . . . . . . . . . . . . . . . Seating capacity 3o N of meals served <br /> ( ) Bowling alley . . . . . . . . . . . Number of lanes -( ) With bar <br /> ( ) Campground and camping resorts . . . Number of seweressites <br /> Number of unsewered sites_ <br /> Total number of sites <br /> ( ) Camps . . . . . . . . . . . . . . ) Day use only Number of persons <br /> f ) Day and night Number of persons _ <br /> ( ) Catchbasin . . . . . . . . . . . . . Number <br /> ( ) Church . . . . . . . . . . . . . . . ( ) No kitchen Number of persons <br /> ( ) With kitchen Number of persons _ <br /> (Y Dance hall . . . . . . . . . . . . . Number of persons jj0 �aoev rr <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 spa*es _ <br /> ( ) Dump stationNumber of dump stations _ <br /> ( Employees ( total of all shifts) Number of employees Z <br /> ( ) Hotel ( ) Motel ( ) Cottages . . . . Number of ,pnits 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 /> (X) Restaurant . . . . . . . . . . . . . Seating capacity ao <br /> ( ) Dishwasher and or disposal ? <br /> ( ) 24-Hour service <br /> ( ) Retail store . . . . . . . . Total number of customers <br /> ( ) Schools . . . . . . . . . . Number of classrooms Meals ( ) Showers <br /> ( ) Self service laundry . . . . Total number of machines <br /> ( ) service station . . . . . . Number of cars served daiTy __ <br /> ( ) Swimming pool bathhouse . . . . . Number of persons _ <br /> ( ) OTHER . . . (Specify) . . . . . . . <br /> COMPLETE OTHER SIDE <br />