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HomeMy WebLinkAbout10 X 12 Shed- 174 Farnham ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks 200 sq. ft. and smaller) Address of Proposed Structure: 194 Fay-sham PC,ad Zone: Name of Owner: KaEe- Emsf GIS PIN: � 2 10 0 r�. Phone Number: (R(pc�)a c q-4D8"-. Application #: b 14 6 14 57� 1. Name of Applicant: LPLAININING Address: /r74 i cvn A am RA. 3 a F� (-I �nr n---Phone Number: � t��� -0 d9-4oFsaSOUTHT, 2. Structure cannot exceed 200 square feet. TYPE OF STRUCTURE: —),( SHED DECK (not to exceed 30"'from grade) DIMENSIONS OF PROPOSED STRUCTURE: /y' X I� 3. A Class D survey must be submitted with the application showing-/the property lines, all other buildings and the location of the proposed structure. 4. Is the property served by a septic system? Yes No If yes, the applicant must complete and submit a B100a Application to the Health Department for review and approval. The undersigned hereby permits Town staff to enter onto and inspect this property during reasonable hours for the purpose of reviewing this application and to determine final compliance once construction is completed. I, the undersigned, acknowledge that the above information is true to the best of my knowledge and that the above requirements are understood. Applicant Signature: Gi✓ Date: —I Owner Signature: , Date: Reviewed and approved by: - Date: ci Zo in orce nt Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building File 04/15/14 it � 1 t r37i 38 z o 0. t 4 g3.777 WN �nwaba refer to e1�1� � � Co � � �tt�ntiat {Srx` Ct,:` MIRROR �' T herebyrty tt the trap is sub8xt� c - � , OWN— rct azo zoi�ng � 1 - - or + ton :hive beep vL.tte � t� - r; 777