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I <br /> 3/70 PROJECT DETAIL DATA SHEET of 4 <br /> NAME OF BUSINESS ee qer <br /> LOCATION 1X071 REQ yg frnde Lemke (3urn off <br /> street or higsway city or townssip count <br /> Y <br /> LEGAL DESCRIPTION —NF�q of NW d1 7-371/ i?.!Sw Pa.VCl#031+-J-sa1-01700_ <br /> O>700 <br /> OWNER �ohn Seeger Mailing address iy07/ SfafeRd <br /> --q g' <br /> Gia nst e..✓2- w t Z I P Sy8'f0 <br /> ARCHITECT OR ENGINEER Address <br /> ZIP <br /> PLUMBER Ric - Address <br /> 1 . Check appropriate building usage (s) and fill in the information requested opposite <br /> each usage listed: <br /> Existing building New building <br /> dition <br /> If addition to existing building attach detailed memo for each. <br /> ( ; Drive in restaurant . . . . . . . . . Car spaces <br /> i 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 <br /> persons/unit <br /> 4 persons/unit TOTAL NUMBER OF UNITS <br /> ( ) Churches . . . . . . . . . . . . . . . . . . . . Number of persons Kitchen Yes No <br /> ( ) °ar or cocktail lounge . . . . . . Seating capacity t <br /> P y (10 sq, ft./Person) <br /> ) Nursing or rest home <br /> Number of beds <br /> l ) Mobile home park Number of units - dependent <br /> (camper railer) <br /> - nondependent (mobile home) <br /> ( ) Retail store . . . . . . . . . . . . . . . . Number of employees - <br /> Number of customers 7i s_q. 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 /> �( ) Apartments Number of bedrooms <br /> Q Other S p e c i f <br /> 2. Indicate whether or not the following facilities are connected: total 38 3Pd <br /> Food waste grinder Yes __ No _•x_ Dishwasher Yes __ No �( <br /> Automatic clothes washer Yes No X Automatic potato peeler Yes <br /> Other, . . . (Specify) No X <br /> 3 . Fill in the appropriate information for the following as indicated : <br /> Seo, ic tank ca--acity planned <br /> Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET <br /> COMPLETE OTHER SIDE <br />