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SUPPLEMENT to Web-App # <br /> e.corm <br /> CUSTOMER TO PROVIDE <br /> C rL <br /> I' <br /> Zoning Status; CUP; J <br /> Deed Restriction; CSM / ?! <br /> 13 Variance(# ) <br /> Vsite Plan drawn to scale <br /> ION and includes dimensions <br /> \ 'Co <br /> (SDN Site Plan including location <br /> of well/septic <br /> [iSetbacks ,5/5 <br /> Site Plan approval from Ar <br /> po applicable township. 4. <br /> � <br /> AS G`OU.�►= Floor plans to scale <br /> GE: Elevation of property <br /> 2 / frontage drawn to scale <br /> � : A) IV Driveway permits i <br /> 4 4. <br /> (state, county, ow <br /> 5"11-5 ESan' -4 permits <br /> DoT (9 blt private) <br /> §' F E'R E V IEW G� 2 - <br /> I 1 ° .'°°c x ':- `hoc <br /> Per i ted Use? <br /> I.36'44:441 , <br /> =Rura da =sss -: <br /> ��� # <br /> basement) 0 4 « ,i +a-y`< <br /> Wet)and/ loodplatn/ <br /> s stag iidi 0 11 x 4i . <br /> 3 Shorela d (atfachrnent /4 <br /> ;? <br /> ecks or porches) �,: t *" ., . . <br /> EoslonControl er If <br /> �((ss, <br /> loediisturbancek /RE FOOTAGE: I filigaccs) . —i <br /> rvey' <br /> /s Revtew-Lobcatto�Su � 1 d avalla )e options O �c ,,H a_35& � ry °n. <br /> 1 \ <br /> Ike? EYes gNo oDon't know _ _ <br /> Eyes vlo Don't know � �� <br /> t <br /> eement? Yes DNo — <br /> rs? Elves f No / ` <br /> (leave blank if none) J <br /> Eves Zip'non_ know r l <br /> _Yes ✓N o J , <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) _SIGNED <br />