HomeMy WebLinkAboutBLD10062 - BLD Plot / Site Plans PLAT PLAN
ADDRESS L✓ 3?0 he9_'qA)FZ1_ L SA)Z; PERMIT NO. Ze'l O f o
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DESCRIPTION LOT BLK ADDITION
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION P"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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1/We certify that the proposed construction will conform to tfis dimensime and uses shown above and that no changes will be made without
first obtaining approval.
Ay M, Lesr e2
NAME(S) OF OWNER(a)OF SITE i STRUCTURE(S) (PRINT) GN TURE OF ER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BE OW HIS LINE
APPROVED DATE
DISTRICT AS NOTED
SHELTON PRINTING