HomeMy WebLinkAboutBLD1988-00391 E31 SING I`Llih11 I rat t'Lll AI ION
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LEGAL DECRIPT IOW
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I1.TYPE AND COST OF BUILDING ►AaFtIUTY
BUILDING TYPE
TYPE Of IMPROVEMENT 0 New County Resident
0 Single Female M
0 Ned building BUILDING
Inn t,,ucture so serve the residential
0 Mulu•Family
._, 0Ad �uon number of unrn
0 Attrration or Comnsrrcial needs Of those employed
C�Hotel,Motel, Dormitory
al !Oh,. the US N1W 6 Trident Or
0 Repair,replacement
number of unrrs ____________ Indian Island Facilities,►Necking Mobile Home .r�
0
-c�Pecify ❑YES dJNO' 0 Moving Ireloca`ion!
{ti f2 CLc1 �-
❑Foundsuon only
�p�
1 USE_. Full-tune Residence
01YNE RSHIP JC3
❑Second Nome. Recreation Cabin.etc.
, Private (indnvrdual,corporation. _
nonprofit institution,etc.) y []Second Homey Future convesron to
t ✓t.) UBC OCCUPANCY GROUP: fy pH m e Ft Future
Cunt
❑Pubbc (Federal.State or Iota 90 1 ---�nc
(Omit cenrsl Nonresiden 'al- Dena be rn detail roposed a of budd.ngs,e.g,food
COST t'• sing pf t. chin shop,faun ry building t hoc Dual.ate emery
s �x — rkino.ale r
e Cott installed impove resent o l/ Uccle, parni. al school.
sCh let ondd tCh041,c I
n be bovoat not ,ncludrd depart t store,r tal of4.ce uild.g emir.b`ni� C stria P
a the abort tort It use of enttrng b•'uiil r g is beingilchanged,('a Plum Plucalmbing
s1n I \/ -Co1 CTL_2a v"c
b. Ptumtiing (mil ,/� J V S U ��
c. Heating.an cond uomng EE_—
e9. plher (elevator,etc_►, ,
• TOTAL COST OF IMPROVEMENT S eao ._
III.SELECTED CHARACTERISTICS OF BUILDING - —"
--. �_ -- — pIMENSIONS
TYPE OF SEWAGE DISPOSAL *Number of Stories
PRINCIPAL TYPE OF FRAME Public or Private .Total square feet of floor area,
CI Masonry (wall bearing) -
all floors,teased on exterior.di Wood Frame ---[]Individual (septic tank,etc.) chrT.nsrons
Y0SI,uaural steel TYPE- OF WATER SUPPLY •Total land area,sq ft.
0Rernloraed concrete Q •
Public or private company -----
NUMBER OF OFF-STREET
0Other-Specify 0 individual (well,cistern) PARKING SPACES
- Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors _
El Gin G RESIDENTIAL BUILDINGS ONLY
Oil _____-. Number of bedrooms
�❑-t Electricity TYPE OF MECHANICAL Full . . . -
0Coal Number of
txthrooms Partial
❑Other- Specify
--------------
IDENTIFICATION- -- — ZIP code Tel No.
Marling Address- Number,street,city and Stare
Name �/- /�j - .
a r2a 4,c __!/ d i` o J Vj/w �L w�e)J 11111111111 'q�3 s / b�
2 . / - 0 - 'oXa v2 " �ucll0� �J 1
\�-1� tC.W�I - tate�Lioense No.
C �r �EQs A. /�J�`J
rtaor Cl]nS�� I .. Cl�n A C a 7
, ------,7144--- . :
ner of this building and the undersigned agree to conform to all applicable laws. _
ApW non dart
- Address �'� 98'31*5 t;
of
'ipp{rGsni ) ! ' i�/ (}e (
VG AREA FIRE DISTRICT
SCHOOL DISTRICT WATER DISTRICT_ I
cD BY , - tJ
C t,s`T..®tra•T PE RMIT NUMBER
7 ---- :
PERMIT FEE I UE DATE
9
P261988 .3 ) ;
tRSON COUNTY _ _ ,------ I
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