HomeMy WebLinkAboutBLD1994-00740 .
6. Does the site have steep slopes with little to no vegetation? YES 5( NO
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine sand? YES y NO
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES NO
surface of the ground?
If YES, please describe:
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson
County based in whole or in part on this application may be reversed if it develops that any such statement
or other inform ' ontained h in is false.
/o/zo//4
3`ignature Date
r • •
G / g• Mans
t9RTP 04)4c.446
dANa6L
SCAN N ED