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ZoNI /?AND USE COMPLIANCE CHECKLIST
I. GENERAL
Building Permit # Zoning 04. Conforming Non - Conforming
Job Location Lot Dimension f4 $ ( 44,
Property Owne 5AAJ - /f�-ZD IKi Lot Area
II. OCNSTRUCTICN DATA
Describe Work: / `r v / f of RV/
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NEW C NSTRUCTICN ADDITION x ALTERATION
Accessory Building Pool Single Family
Fence Deck/Patio Tao- Family
Boathouse Sign Multi - Family
Utility Structure / porch Ccarnercial
Other (specify) Manufacturing
III. CD1WLIANCE CHECKS
Complies Deficient Deficiency /Cats
Use A(t) . 7
/� lot Width
Lot Area
Floodplain
Front Yard- --/
Rear Yard
Side Yard (R)
Yard ) U 0 S 'may tir,L, A -- /0
Parking U
Building Area
J Lot Area per Family
Corner Lot •
c/- Other Other (
IV. REVIEW AUl' 3RITY /
The Planning Director, or appropriate designee, oust 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 ocztplies with the above criteria, the permit can be reviewed
by the Building Inspector without referral to the Planning Director.
APPROVED NM APPROVED
Plan Commission Action Required
L-- (s) Required /,Ard
wan= BY: / DATE: / - /7 a
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