HomeMy WebLinkAboutBLD26630 Mobile Home - BLD Permit / Conditions - 9/4/1990 Shorelines: Plumbing:
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TYPE HOBILE
Permit No. 26630 No. Floors 1 Sq Ftg 1848
Owner .IFN-,FN, IAVFRN V Tel 427-5221 Date 9-4-SC
Address W_2•nJ I i ttl P FgVI)t R� Cnpl tnn Zip
Contractor
Address Zip
Legal Description J2-2n-4 Tr 4
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck 7arage import
Basement ---Loft Other
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PLOT PLAN
ADDRESS Ir- 11, PERMIT NO. 4 0
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9 >
' a
LEGAL
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 AND SEWER SERVICE ELEVATION. SH !W 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.
OINDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
it
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(s) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESFNTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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(NOT ?v IF
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