|
Fra..111-7-0217:17a;mai
<br /> -ZONING PERMIT APPL1GAIION wilys,cOuritygrinne.cull I
<br /> over .mitaa• t ,
<br /> V P_ ._ .6.( Lt ty, y, z- . L_ L. 0 Zonklg Status;CUP;
<br /> cmaRAcc,Tss(limber,prat,Ch FatetZIO) 1 PO r) , Deed Resticildn;CSM
<br /> t C)i - v -1
<br /> ;Vti ' ;)LC) i' - 2 '1,- i9*!/: IV (kSki.:"')If..-,' variance(#_ __)
<br /> ' -/ H91p".11. es U.iliONE EMAIL ADDRESS "
<br /> i--'51c) 0 ste Plan drawn tO SCale
<br /> ..... .._
<br /> AGENT- nIFORMATI144 . . , 1 otiuNntmak,r0Foftmji4ina , , ,,,, , and includes dimensions
<br /> AGENT NAME CONTRAZTOR NAme
<br /> 5 NE AL) 4.6- 6 ti,' 0 Site Plan inclang locate:11 .
<br /> AGE.NTADDRESS CONTRACTOR ADDRESS of wentseptic
<br /> . .
<br /> ...14,no ply,S'at a.41) 0 Setbacks
<br /> PHONE ?HOVE ,...... .. ..,../' 0 Site Plan apprtyral from
<br /> applicable township.
<br /> E-MAIL ADORES' EVA/.ACOPZIS .
<br /> 0 BOW'pleas to scale
<br /> PROPERTYuPATION RIFORMATieli :fhttp-d2ntg.olo.erme.w-i 'ell 1' 1 1 C ctevatrz. ot proftem,
<br /> rn ii:Afterr 1 PAW.E.NIA.GE.R. ,CLIARENT7ZNiNa: ACREAM
<br /> frontage drawn la scale. 1
<br /> LI NUMBER I Cn 0 i )0- G ilen Q --
<br /> .rowrisni =nom
<br /> _. 0 Drivevrayperrniti
<br /> ,AC — -1./4:. — - -
<br /> _ ., . . — (sae, 3Eftyitosg
<br /> CA ) • -- -
<br /> — - .
<br /> Lit I tr■ 0 Sanitaty permits .
<br /> MA: 07 1 ELISCMWON sLocio...crr (Pblic/0/sta)
<br /> I ! . , . ,
<br /> PIOPO5gn PitiMEti 70k0Fiti*foN
<br /> PROJECT DESCOIPTION: 5
<br /> C 17;p - 1\ toic,)6 ,'i-r 1 LL'I: c ;
<br /> 4 ..) ."" }`)
<br /> 1 is projett is a new building nr structure.
<br /> '.
<br /> D-it*ptajeci is an addition/alteration to an existing building oe Quciuro. .
<br /> 94t417 - '- r--P--- -------.1Ma--71C"-Stairge------------"L'L... —
<br /> ' - VSiWP.P, EJ MtTIC 1 61'2,01g- 0004
<br /> 3',! elr5 C- ANNERPE,,, StOiliEglitadudirpg bssasnat .
<br /> ---,,, , .
<br /> AREA TO t4EAREST SQUARE KM,:
<br /> ,Mitsice iiinsow.cris ticis,Aaigtinfasts:sed aees,etionned wages and enove gred.:,,,drscks cr.pcidas),
<br /> noos......,.................r.,*+ 01.-■■•••■■•■*.....
<br /> :AWMEnt iST;FLOCr. 1 -7,
<br /> 1(0 6 F_OOTA 6
<br /> 4.
<br /> •tilD ROM SW FLOOR: ,
<br /> i' LD(1.0
<br /> ESTUriA t CONSTRUCTial COST: ,S• C)
<br /> •(Please round to nearest cider)
<br /> , _
<br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake?...... D.Yes go .0 Don't know
<br /> 2. Is there a wetland or floodplain on or near the property? °Yes ErNo 0 Don't know
<br /> 3. Have you talked with the township about your project and are they in agreernent? gres 0 No
<br /> 4. Has there been a zoning permit Issued or this property Irt the past:S.years? 'I'es 0 No
<br /> 5. is tits project associated-with a rezone/OUP/variance(petition/appeal#___ _) (.4,n.blank ir none/
<br /> 0. le a locatiOn survey required? (see reverse) ahes 0 flo C3 Don't know
<br /> 7. Is this to correct a violation? *9, 0 yes 53114o
<br /> APPLICATION MUST tiE SIGNE()
<br /> (Condom on Bac14) '4* "4. 4.-
<br /> 5.6112 003)
<br />
|