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Application 12' X 12' Shed
ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks 200 sq. ft. and smaller) Address of Proposed Structure: 2 °''�"��"�� � '� sJ P Zone: jAA3 D I--'Rc�/gLA1140, ASiFtaq Name of Owner: Nf 41 A r.,4 GIS PIN: 4-7 8©op i a Phone Number: '—v3 zr.,a 3 Application #: AD 1 60 6 1. Name of Applicant: T,2'C"ALA-r� A -A s H w ev-(H p� q 14R' Address: Qr�-' Phone Number: RECEIVED c- C D �! `—�'7 JAN 2 3 Z015 2. Structure cannot exceed 200 square feet. On WN"PLAWNG DEPT. TYPE OF STRUCTURE: ✓ SHED DECK (not to exceed 30"from g DIMENSIONS OF PROPOSED STRUCTURE: _ i�`'.J� lay cLAss A-z 5Uxv ry +P- A-=i!/ftc r . 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 tru'to the best of my knowledge and that the above requirements are understood. , Applicant Signature: Date: 3 -`' s Owner Signature: t1s``c`�`�` ` Date: ` jam-3 a r ***************************************************************** Reviewed and approved b pP Y. i �_.�1�� Gf .���� Date: i 3 � Zoning Enforcement Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building File 04/15/14