HomeMy WebLinkAboutApplication 8' x 12' shed (3) L
ZONING COMPLIANCE FOR SMALL STRUCTURES
(Sheds and detached decks 200 sq. ft. and smaller) '. y4 ~-
Address of Proposed Structure: Zone: '
Name of Owner: &-Rj _�f�r�c����,,.4�GIS PIN: -6— our 3
Phone Number: 060 L% -rZ "Z Application #: o>-o t
1. Name of Applicant: �i®„se �� ,� ,�
Address: 33 Laoc<--e LR ����`��
Phone Number: ~` 6® .._7�3�-IZS� v k 7 �017
2. Structure cannot exceed 200 square feet. DSOR PLANNING DEFT.
TYPE OF STRUCTURE: !/ SHED DECK (not to exceed 30"from grade)
DIMENSIONS OF PROPOSED STRUCTURE: 00 1Y/ Z
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: C Date: /r 2 T 7
Owner Signature: r � �z�r, C _� Date:
Reviewed and approved by: Date: i i Id 7 t 7
Zoning Enforcement Officer
Reviewed and approved by: Date:
Environmental Health Officer
cc: Assessor
Building File
04/15/14
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