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MINIM/LAND USE COMPLIANCE CHECKLIST
I. COAL
Building Permit # ) Zoning 2-/6 Conforming / Non- Conforming
Jot rotation N33 i # 5D i t) S3' Lot Dimension
Property Owner A It Area
II. CONSTRUCTION DATA
Describe Work: f: • i A ct,
NEW CONSTRUCTION ADDITION X ALTERATION
Accessory Building ___Pool ? Family
Fence Deck/Patio Two- Family —
Boathouse Sign Multi- Family
—
Utility Structure Porch Commercial
Other (specify) Manufacturing
III. QOMPLIANC E as
Complies Deficient Deficiency /Cts
Use
Lot Width
Lot Area
Floodplain
—
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
—
Building Area
—
— —
Lot Area per Family
Corner Lot
Other (specify)
IV. REVIEW AUTHORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior work when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windows,
etc., when the use is conforming and when no change of use is proposed.
Instances where work complies with the above criteria, the permit can be reviewed
by the Building Inspector without referral to the Planning Director.
y APPROVED NOT APPROVED
Pian Commission Action Required
Variance Required
REVIED N3Y: DATE: 11-S41—
INSPECTION REPORT 0
FILE /9.32 933 ► L r 50 (--- DATE: 1 "-0^ (f
R.:
_FOOTING _SLAB ___BACKFILL ,�TRUCTURE _INSULATION _OCCUPANCY
_OTHER
VIOLATIONS /REMARKS:
..)-4..'/L-r-A- 6-9.7.-12-4
0 /