HomeMy WebLinkAboutRLC97-0262 - RLC Application - 12/31/1997 _-INSPECTION CHECKLIST
Permit Number 66'b C11 l L3 Type of Use
Owner d L_ Parcel # ✓� q 0V 6
❑ 1. Saltwater/Lake 20z Acres SMP Designation
Name of Water body
❑ 2. Rivers, streams, or creeks
Type of Water
❑ 3. VW Lakes or ponds less than 20 acres in size? (Check if yes.)
❑ 4. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances support vegetation adapted for life in such conditions as the following:
Marshes, bogs, and swamps. (Check if yes.)
❑ 5. �l Slopes greater than 15% or 8.50? If yes, degree of slope °
❑ 6. Floodplain? (Check if yes.) J
❑ 7. Seismic Hazard Area? (Check if yes.)
❑ 8. Aquifer Recharge Area? (Check if yes.) .
❑ 9. Comprehensive Plan Designation
❑ 10. Other —
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Authorized Signature Date
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