Laserfiche WebLink
.... ........................................... ................... ............................................. .................... ..... .......... <br /> D=eSs <br /> oa <br /> ....... ........................ ...... . ....... 'P...H'i . ............... <br /> Z <br /> 0 <br /> -DESCRIPTION 4. Sanitary Facilities: <br /> 1. !.York: 2. New Building Details No. Bathrooms .......... <br /> New Building No. Bedrooms 0 <br /> Type o No. <br /> ruction: .......... <br /> Addition .......... .... Septic Tank Size Gals. .......... <br /> Sanitary <br /> .......... Size .....3..l?..... ft. X ....... ft. .......... <br /> Filling/GradingHeight.... Stories .......I 4a. Absorption Field Site: <br /> .......... ........ <br /> Moving <br /> Area ........../A'F�o.................... Soil Type .............. <br /> .......... <br /> Mobile Home Slope .................... 0 <br /> ........... .......... <br /> Privy .......... 3. Use (describe exactly, 1 -family Perc. Rate ...6.................... .......... <br /> Well .......... home,garage,motel, etc.) Dry Well <br /> Subdivision Seepage Trench <br /> ....... ....13,ki-i. ...... <br /> Camping UnitPrivy .......... <br /> ....................... <br /> .......... <br /> Seepage Bed .......... <br /> ---------------------------------- ---------------------------------- <br /> Location of proposed structures and existing structures,well,sewage systems. roads,etc <br /> should be sketched in Fig A. Inclu e road C <br /> setback, side and backYard dimension and location and setback from all bodies of water. If property is located at a highwEV inter- CZ_ <br /> section, show the intersecting highways and <br /> the setbacks required along them and at the intersection. CLEARLY LABEL EX13TING <br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS. <br /> ______________________________________________------------------------- <br /> 5. Lot Size: Fig. A. 6. Location: <br /> ...... ft. x ft. . ..... .... sq.ft. ............................................ ......... ............. .......... <br /> a <br /> f <br /> 21 <br /> Z <br /> lt <br /> 0 to Z <br /> 0 <br /> 6e <br /> C <br /> 3. <br /> ic4,. C) 0 a <br /> ............ ...................... .............. <br /> IK g.ature of OwnerAgent Date 0 <br /> X a <br /> Remarks .......... <br /> ........................4..................6................................. .................... ................. ................................ ....................... ...... <br /> .............6......................................­6.......................................... ............... ......................................... ...... <br /> Inspection Date ........... ........... <br /> ........................ <br /> jo <br /> n tratorO <br /> NOTE: A preliminary site inspection must be made and site approval granted on all Structures 111VOlViog sanitary facilities <br /> before conStFLICtI011 can begin. In the case of sewerage disposal systems, a copy of the percolation test moist be attached to <br /> this application before a permit will be Issued. Do not Purchase or Install a septic tank, do any pluiihiriq or start any build <br /> ing until a permit his been issued. A permit may be revoked it misrepresentation of any of the infDrmatioll conveyed heic <br /> with is fOLIlld to exist. Changes in [)falls or specifications shall not tie mode without approval of 11 e Zoning Admintsi <br /> SEWER SYSTErl SHALL NOT BE COVERED UNTIL INSPECTED BY THIS OFFICE ND APPROVED. <br />