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HomeMy WebLinkAbout10 X12 Shed- 83 Lewis f. ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks 200 sq. ft. and smaller) t ` Address of Proposed Structure: 13 3 Zone: , .20 Name of Owner: A 6k,,. Cv w, „, ,s GIS PIN: 5-3 400c S3 Phone Number: '660 Application #: c) 1 h� 6 13/3 1. Name of Applicant: QU r" Address: '83 ze wc; �Dt' RECEIVED Phone Number: '�S60 S5-8 SEA' 14 2016 2. Structure cannot exceed 200 square feet. SOUTHWINDSOR PLANNING DEPT. TYPE OF STRUCTURE: `SHED DECK (not to exceed 30"from grade) DIMENSIONS OF PROPOSED STRUCTURE: 1 o X't 2 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: Date: ,C - Owner Signature: Date: �r Reviewed and approved by: - G( o Date: Zoning Enforcement Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building File - 04/15/14