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-60 RECE, <br />"3/�0 PROJECT DETAIL DATA SHEET VED <br />SEP 6 1973 <br />NAME OF BUSINESS <br />LOCATION ��� U >' h <br />street or highway city or to?"ship county <br />LEGAL DESCRIPTION NE z1L� 1� Sem Z <br />Qrv( �qq� t,I/ <br />OWNER -Vow Mai l ingJ address DahvV' y b�V /S -7o <br />I _ �,/ ZIP <br />ARCHITECT OR ENGINEER �GVI dl1 Address (ee�dv i <br />WZIP <br />PLUMBER c��� 02Dq,�, S Address f reg., s J 7-z— <br />ZIP <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 addition to existing building attach detailed memo for each. <br />( ) Drive in restaurant ......... Car spaces <br />( ) 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 persons/unit <br />4 persons/unit TOTAL NUMBER OF UNITS <br />( ) Churches .................... 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 10 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 edrooms / <br />(i() Other ....................... Specify i zm rvUhcd S_ 3S L4 Y1/ ,S <br />-- - <br />2. Indicate whether or not the following facilities are connected: <br />Food waste grinder Yes No x Dishwasher Yes No X <br />Automatic clothes washer Yes No- Automatic potato peeler Yes <br />Other (Specify) No <br />3. Fill in the appropriate information for the following as indicated: <br />9 l T <br />Septic tank capacity planned d ���� a l '-' Z- Z s o a 2>-' /KS <br />Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET <br />COMPLETE OTHER SIDE <br />