HomeMy WebLinkAboutApplication 10' X 12' Shed ZONING COMPLIANCE FOR SMALL STRUCTURES
(Sheds and detached decks 200 sq. ft. and smaller) _ {q
Address of Proposed Structure: Lio ���tt L r Zone:
Name of Owner: W4 GIS PIN: 7 ccr-LIo
Phone Number: ��'� i ,� Application #: ,2-a 16 bo 18
1. Name of Applicant: � Leer
Address
Phone Number: <-vv �
NINE D�pT.
2. Structure cannot exceed 200 square feet. wiNosn� '`N
TYPE OF STRUCTURE: A'-- SHED DECK (not to exceed 30"from grade)
DIMENSIONS OF PROPOSED STRUCTURE: /® 'C1 /0
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 Sign ure: Date:
Owner Signat o Date:
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Reviewed and approved by: C1. 0'0" Date: of jG-
Zoning Enforcement Officer
Reviewed and approved by: Date:
Environmental Hea �Offiic�er �
cc: Assessor
Building File
04/15/14
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