HomeMy WebLinkAboutApplication for Variance - PLN General APPLICATION FOR VNUANUE TO SIDE NUD
SETBACK AND EASEMENT LINE SETBACK T
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DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning Do I 1Z1a-�ee APP COND APP HOLD
corns
Building
Fire I
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Other
Other
TOTAL DUE $
IN
Show the following Indicate direction by (N,
on the site plan: S, E, W) in relation to
plot plan:
Lot dimensions
Existing structures '
Neighboring structures
Structure setbacks
Name of streets, roads
Driveways
Septic tanks/drain field
Easements
Shorelines, streams, rivers -�
Steep slopes
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ADJACENT PROPERTY APPLICANT' S PROPERTY ADJACENT PROPERTY
NOTE. This is an illustration; lot confirmations may vary. Actual plot plans
may be submitted.
Show following on the site plan r,
Lot Dimensions Fli Zohes .
Existing Structures Fences
Structure Setbacks Driveways Gc/
Water Lines Shorelines
Drainage Flan Topography
Septic systems - Wells
Proposed Improvements Easements S
Name gt F5anking Str"t Indicate Dlrectibnal by (N, St E, W)
Name of Fronting Street in relation to plot OINK,
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