HomeMy WebLinkAboutBLD1988-00450 -i- .. [�irrC, I'LI:r.T11 .yl I.�ILi.I IL�rJ ti o.53G4 335 r3r0
n► Cotirthousi• Fort Townse as________-.
e 0 n� OrParlmenf « County ___.-._.---
•h'llrrut^Counf► B.i.l _ .—�-----
N_E _ �_ rEE4
��_ ROAD __-- 1
S W SI DL OF _-----_. d
I. LOCATION- Pu9'als^'c ^a"' Cl ROAD
h I. ROAD ANG- -----.
SW FROM INTERSECT ION O` t
ptntr apecrBr[locar.on or rrntsmars -LEGA�LDESCRIPTION- ____1____— ______I____
---. .Lv S.in i � Sa-Z e
`
-
.♦. P
1 I Lot Block � Subdivision
Y.
- on Sec or±__.—__ Towna-ro
t
II.TYPE AND COST OF BUILDING MOBILITY- 1
BUILDING TYPE Resident i
T��r/pE O�IMPROVEMENT 0 New County i
Smgle Famrty residential
•
0
0 Add building r--� Is this structure to serve the 1
0 Mutt, Family commercial nods' thfemployed
Addition number of un,^ _ or
at eit
her her the n Ns 0 t thoseTrident
®Alteration (�Norrt,Motel, pprmao/Y
r,replacement number of un --
Indian Island Facilities
❑Rt�' D en_ ,
E]mow', Home ,�NO
0 Wrecking 0 YES
0 Other -Specrly
Moving ireloca`io^) -�
0Foundation only ---
- — uSE
—
`------_ _ Full-time Residence
OWNERSHIP ire ❑Second Home Recreation Cabin.etc.
Private (individual.ai c. ion. -
nonprofrt institution.etc.) 11O Second Horne" nlF residence
enCt Aron to
I - permanent e Ft tune con
•
r fool Wilt.) UBC OCCUPANCY GROUP. allr'
❑Public {Federal.Sure o .e.g ___
- __.____------ /Omit cents/ Nonr se6enLal- IkaRe
in detail propo use o1 builds
nines p•laundry bu.l at hospital, mentary
COST �� 3 0 sprocesschool. 9 plant• rr ac r ear care- or
lood
S air aC Wool,cone_ )ar OChral scrum • nt
c...), • Cost of emPedbul nt. . . . - - - - ' --_--_-t_-- school.sic Ilia bu+ld�rrq at rn0 ustnr P
- department stor mat of Lee buel6+r
To be installed but nor ,ncluded rarer proposed use.
It use of existing bu+kt,nq is briny changed.
rn tar aGavr cost 1
et-
.. . . .. . . . . . . .. .. --- �j�� p O t— (� o5�-
b Plumbing _ t !_
Healing,air conditioning � L �7 C
d. Other (elevator.etc-I. - - • . - -_ .—_.— L/
• TOTAL COST OF IMPROVEMENT S _ �r�D _-------
III.SE LE CHARACTERISTICS OF BU_____
NG -
. - DIMENSIONS
TYPE OF SEWAGE DISPOSAL •Number of Stories
/
PRINCIPAL TYPE OFbearing)
FRAME Q Public or Private •Total square feet of floor area,�-' Masonry ;wait Cxwnng)g) all floors,based on esterror •' �3 ("//1
t71 Individual (setnec tank,etc.) demloorona. . --,--j5 V
•{ j Wood Framt _ P-1 Cj r� ' _
Si'� nurat steel •Total land area.zq.ft.
�h TYPE OF WATER SUPPLY
n Reinforced concrete Q •
Pubhc or private company hIUMl3ER OF OFF-STREET
Other -Spicily ----- Individual (well.cistern) PARKING SPACES .------ -- U
- -- EncIosed. .. . . . . .. ..
_ 3
--- --_- Outdoors ..... ........ .
• PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE -----
iD Cis {� , �'< RESIDENTIAL BUILDINGS ONLY a
it Number of bedrooms.. 3
]Electricity TYPE OF MECHANIC..AL Full_ . _ ... __
,[ e ,_-(-rL: C� Nun,Ue/ of
®(oa1 fit ,�� 2'C CQ batMoorrK Partial. _-- .
OOther- SDeCifr — — +wl2c ��� /} l ----
.-.._-_- -.-.._____----- ZIP code Tel No.
IV. IDENTIFICATION Number.street,city and State _ p
Name
---__T. Mailing Address- _— -_- -t i
ao3 T —
td g 7
2. i
70 IZ {�1..t /uw� r
�o2ecc�� 1� U o —c�- `lk3
Mare License No. L
4, r Irli
Cantl:ao C. 1)1-t2.1'�C- Y } 2 2/
3. _..A.,/-7*-----__ _____--___--_.----------
Architect
applicable laws.
_ ADDIr stun Du
TTte o r of this building and the undersigned agree to conform to allp_--3`J__-- //��v f
-----'----mere eu �Y��c^G / !v 0
$agnat [of avonc,m .,4)v ,2 "- `
__— - WA7E R DISTRICT .
L SCHOOI. OtSTRIC"T.
o FIRE DISTRICT__.___— ---- -- _PLANNING AREA jj�� S 1�v�� r(L Q��
APPROVED BY � Li �� �� �����.-/I.y�� /Z 3 B�g vKw�
o /{S7j '
61
• s^IVL pcvr PERMIT NUMBER
o Jt�1R •rInn
I, SAi ,Il
REE 1 Of OATS
V w — / S( t... _—_.
s (22/
—[RDlNG0flI88 Q -7 Sv
—PlT9�q rkt e9® ry 1(� ,, -
aor
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W L W-i.+.r sw - J6'S8:4[W 4 N.
V
APPR '? ED
JEFFEit; :,LINTY
PLANNING&BLDG DEPT
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V(ai At 1-3-4^c 014
7 83 /P"-47
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