HomeMy WebLinkAboutBLD1987-00359 E,utt_DtNG Pr_kr.111 At ['LLCM ILL;. 9c3G3 • 355 r�r0
r.,d,ns Or?Ili cnt • County CcwrihoLsr • PO-1
Toted I"jSh
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N E ROA V �_— [EET
n r n.-•+• _.__-- S W SIDE OF
1 LOC N. Puy an _—y - / �/ � � R040
h E `�
SW i ROM INTERSECTION OF ---
ROAD AND ' �G
orner iocr•1•C rpc u,on or unomarr t I,I
LEGAL DESC IPTI N: Subdivision
7owna-L Range h o 7a. Numoct
X.S— ecttio„ Section
II.TYPE AND COST OF BUILDING
MOBILITY
TYPE O IMPROVEMENT BUILDING TYPE •
Q New County Resident
Single f amJv
Nev.budding Is Inns structure to serve the residential
0 0 Addn•o^ Multi-Family
of unit.;CI A4ern,on n•a or curnmetcrsl needs of those employed
at either the US_Navy i Trident or
O Hotel,Motel- Dorm•torY
RePa,r.•eplac[menl number of u
Indian Island Fant•tin7
0
0WreckingVicsoile Horse
her.-S rly 0YES [�NO
OMoving(relocation)
O Foundation only
USE
Q Full-time Residence
OWNERSHIP
,vast ii nd.vidual_coroorat.on, _ CI Second Home_ Recr cation Cabin,etc_
Wi5l
nonprofit institution.etc.) Q Srcond�orne m entrture ies de�¢ rs,on to
❑Public (Federal.State or local go✓t_) UBC OCCUPANCY GROUP:
/Omer cenal Nonresidential— Describe in detail proposed use of buildings.e.g.,food
COST ems,, hospital.elementary
S es.�1+0. processing plant,machine shoo,laundry building at rk•no . for
• Cost of improvement u !J school.secondary scnool.colteoe-paroch•ai school.pa
To be a bovlleCbur not included department store,rental office building.office bu,ld'ng at ,noustrra, plant.
m the above cost .-y� Oil
11 use of existing building is being cha ged,enter proposed use.
a. Electrical � t'`.
b_ Plumbing '.
?�' _ Heating-air condo Oning -
sib /A A[/
d. Other (elevator_etc_) /� � r a
\1/4 • TOTAL COST OF IMPROVEMENT S - 'Lie
. . 111_SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL .Number of Stores
_ O Masonry (.wall bearing) Public or Private - •Total souare feet of floor area. t_
all floors,based on exterior Vr
RLWood Frame Q Individual (septic •
tank,etc.) dimensions
O Structural uCT ura�steel •Total land area,sq_ft_ -
/ , TYPE OF WATER SUPPLY
�- _.. O Reinforced concrete Public or private company
NUMBER OF OFF-STREET
In -Specify J individual (well,cistern) PARKING SPACES
4 `� Enclosed
`wl - PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors r-ti,_
OOi RESIDENTIAL BUILDINGS ONLY
Oil Nurrtoer of bedrooms
El Electricity TYPE OF MECHANICAL Full
Deoal - Number of
a. bathrooms Partial
0 Other- Specify
—IV_ IDENTIFICATION- ZIP tvde Tel.No.
Mailing Address-Number,street.city and State I-
,
Name Il '�� I
1. �� mar t CrE� Po• Box �at'1��*� �� . Rz
Owner ., y
W� IJtl�iGYM=
(2S 3aPO g16,...y� to )
2. State L•oense No.
Contractor IrOW Q 4-
3. /YlCi14%VAr14'l�i-> ar2; f3utN�. ea,
IY�L-�c,3r
ArcMtect 'i tie z r _ _CA,wsio�/ 1Y12 D'yr-yliss4 S
The owner of this
is building and the undersigned agree to conform to all a plicable laws. p+•on•on to
Address/l�( /) A' AJ 1/1 P -�
$•gnat Yi•e OI appl,ont J ' ,�� , 3 (5(! ti 1 ...61
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/ 7, I
' uf(r (/ I ! IiAlf / t
bPLANNING AREA
FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT 1
3 APPROVED BY
6.0
o -serv[wso�Con xvine r-rULTM OEr�T _
4 PERMIT FEE ISSUE DATE PERMIT NUM7
BER
1 APPRO D BY: Pe"`"�� `,�i6�p _ ^ x '
e i'S.'' 7 Li
6
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