HomeMy WebLinkAboutBLD1991-00430 SHORELINE SETBACK EVALUATION
APPLICANT : -- 4 L,' 6-4 (r/r)(W1,--1/-29
ADDRESS: 6 21-- A/ C . "-- { ' / ' 7 /AIX i 98-Yd69
TELEPHONE: (home) „ yS 6i49 /----. (business) a
PROPERTY DESCR I PT ION 0.760,ci / 'ff3/NM i24 ,
PROPERTY S 1 TE NUMB • /Of / ,D 041aj ,f P/ igli /er I, rvAra/v/ 2 w/LJ/11
LEGAL:
Ow r : L &/../ C .". LA;!9'P.b
Address: 42/ Ale 41Jfl 4) 7 `e ► ® ' / ' tat i 18gm)
Tax Parcel Number: (9,2!ni/.2i0/
Deal Property Description:
)
ADJACENT WATER BODY: J /f Ill 1;44/\,; Lam" 47,17e0.7
EVALUATION
BLUFF HEIGHT: / ?-0 40 / _ SOURCE: 43.f
BLUFF STABILITY: x afx_ SOURCE:
❑ STANDARD SETBACK: __ _ _ feet
This minimum setback shaLL be measured from the ordinary high water
rk to the most waterward edge of the proposed structure .
Y7‘
BLUFF SETBACK: `(U feet
This minimum setback shaLL be measured from the bank' s edge to the
most waterward edge of the proposed structure .
AVERAGE SETBACK :
This minimum setback shaLL be measured from the bank' s edge to the
most waterward edge of the proposed structure . This setback is
based on the foLLowing caLcuLations of adjacent residentiaL
structures .
Right House (facing waterward) :
• Setback from bank or ordinary high water : feet
istance to the proposed structure: feet
Left House ( acing waterward) : _ aNc
e ack from bank or ordinary high water : feet ,1l1_`\
• Distance to the proposed structure: ( 7 feet
❑ SUBDIVISION SETBACK : feet
This minimum setback shaLL be measured from:
This setback was estabLished by the approval and fiLing of the pLat .
VARIANCE
REQUEST:
❑ APPROVED ❑ DENIED DATE:
ACKNOWLEDGEMENT
The above evaLuation was determined on information provided by the
applicant. Should any of this information be found inaccurate, the
setback requirement may be re-evaLuated .
P .nner (dat )
i •
JEFFERSON COUNTY BUILDING PERMIT APPLICATION
PROPERTY OWNER NAME
-/( �, -,, ,,../I,�/Ci� 6/ . G ebi/1Yr15 PHONE /�f ird'y— 012- C77* 7
MAILING ADDRESS ,Z / J lC/,L,1 ✓1/ /SS# g � j -.j ^/�/,)
�7' �/;04.4«it.46 ZIP g b` P5,/
CONTRACTOR ' r-L f ���
MAILING ADDRESS PHONE S 40
STATE LICENSE NUMBER�_.C�Cl/f5,01 �7Go EXPIRATION DATE
FEDERAL I.D. NUMBER
ARCHITECT PHONE
MAILING ADDRESS
LOAN LENDER NAME/BOND HOLDER NAME /41/6C-; '";a
MAILING ADDRESS PHONE
SITE LOCATION 7) /'lf111/4i/t) ASS ZIP CODE / e'5Opy
LEGAL DESCRIPTION: / �--
SUBDIVISION NAME //�,,LOT / BLOCK DIVISION !�/W4 /—
0
TAX NUMBER 9 DIGIT PARCEL NUMBER C) / 2-% a / J
SECTION r'( TOWNSHIP 'l NORTH RANGE a G� WM
BUILDING TYPE IIMMPPRROVEMENT TYPE
SINGLE FAMILY NEW BUILDING
❑ MOBILE ((❑ ADDITION 500+/500-
❑ MODULAR 0 ALTERATION
❑ GARAGE ATTACHED/DETACHED 0 REPAIR
❑ WOODSTOVE 0 DEMOLITION
❑ MULTI-FAMILY/UNITS 0 RELOCATION
❑ COMMERCIAL /
❑ INDUSTRIAL MOBILE HOME
❑ HOTEL/MOTEL/DORM/UNITS SIZE
❑ OTHER YEAR
\-1/ 1
MAKE
UBC OCCUPANCY GROUP ( COST
DESCRIPTION OF IMPROVEMENT: /1/0-P CO>L l j
PLEASE COMPLETE BOTH SIDES OF APPLICATION
RE UND REQUEST FORM
,eje. L/
OWNER ME 4-/k°
CONTRACTOR
SITE ADDRESS Bk-6 pi _ 6VS°
l
BUILDING PERMIT NUMBER
I REQUEST THAT MY APPLICATION FOR A BUILDING PERMIT BE WITHDRAWN
AND ANY REFUND SENT TO THE FOL OWING NAME AND ADDRESS :
G6N �, o0
- L1A/f� , 4/ . &vie
REASON(S) FOR WITHDRAWING MY APPLICATION ARE AS FOLLOWS :
Aeale i;04.1 cZ ( .
SIGNAT ' E OF APPLI ANT DATE
FOR OFFICIAL SE ONLY
870
Building Official Amount Dat
/0173 Z s .30
Treasurer ' s Check No . Amount Dat ent Sent By
refund. frm