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Application 9' x 9' Shed
f ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks200 sq. ft. and smaller) Address of Proposed Structure: oqi �I' ,-k�— javle Zone: ���0 Name of Owner: LJ ICI C,1Q,6 GIS PIN: i" i� 00 Phone Number: G•—g 6 S i 15 N Application #: CL-0 r 7 0 1355 1. Name of Applicant: h h ��CL&rj Address: P A{e 4ree ja. n c _. ., Phone Number: U a 7� 7 y v� J 2. Structure cannot exceed :0�uare feet. TYPE OF STRUCTURE: SHED DECK (not to exceed 30"'from grade) ,JJ � DIMENSIONS OF PROPOSED STRUCTURE: R 3. A Class D survey must be submitted with the applicatio7NNo the property lines, all other buildings and the location of the proposed structure. 4. Is the property served by a septic system? Yesf 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 abo information is true to the best of my knowledge and that the above requir der ements a l • Applicant Signature: Date: , f Owner Signature: Date: % Reviewed and approved by: G��/ Date: CtL'�-q 7 Zo ' orcement Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building File 04/15/14 74"4r.� 'r,2'1 .,!+ f t .,a` ,, �, p, yr:'. ', :.y' .t, :.�b_ c �,y+';� :i, <t`• 4?i.'. .1.:?Y r o^,'. .!i:F ..,. .n 1'.y. f :. •:,; 3 .i:.. ,}..J .. :... ., r T•Tlr"O! C:^,•"`...'.,,>.•r •r.:.,^!v.•!"t"y-"R^'""'rF,r,T T„, -,,If,^•r'2"!' .^" ''"-„�..�",�'rr'r!"'€' •"°"�'T„�,cT',`�tt„"'3. X } .S..t• ,�' 4� •Y t ' .,y' i'tv.,.W F� r» ,ti. .. a. 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