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3/70 PROJECT DETAIL DATA SHEET <br /> NAME OF BUSINESS <br /> LOCATION ��SI MAIC _ 1jl/ O� <br /> street or highway city o towns ip �'= county <br /> LEGAL DESCRIPTION __Uj_ }1 yj 1W JE co <br /> OWNER Mailing address S-_ <br /> _ ZIP <br /> ARCHITECT OR ENGINEER Address <br /> ZIP <br /> PLUMBERiL)1 }�p �L/jTf j Address <br /> �l rt�ST Z I P <br /> 1 . Check appropriate building usage(s)-and fill in the information requested opposite <br /> each usage listed: <br /> Existing building New building Addition <br /> If additioW toexisting building attach detailed memo for each . <br /> ( ) Drive in restaurant . . . . . . . . . Car spaces _ <br /> ( ) Restaurant . . . . . . . . . . . . . . . . . . Seating capa_city (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 /> ( ) Churches 4 persons/unit TOTAL NUMBER OF UNITS <br /> Number of persons Kitchen Yes No <br /> ( ) Bar or cocktail 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 T17—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 /> ( ) Apartments Number of bedrooms <br /> Other . . . . . . . . . . . . . . . . . . . . . . . Specify � �-- � <br /> s.S EM c.L <br /> 2. Indicate whether or not the followin.9, facilitieS are connected: - <br /> Food waste grinder Yes NoDishwasher Yes _ No <br /> Automatic clothes washer Yes o �_ Automatic potato peeler Yes �T <br /> Other . . . (Specify) --_ No <br /> 3. Fill in the appropriate information for the following as indicated : <br /> Septic tank tank capacity planned 6/ STVi N � 12-00 W 02 <br /> Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET <br /> COMPLETE OTHER SIDE <br />