HomeMy WebLinkAbout05030170-ApplicationPROPERTY
OWNER:
ADDRESS
Permit #
IMPROVE NT
& Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE ~' Z 3 ~ 7'~S ~- FAX
~EST METHOD OF CONTACt:
PHONE
crFf
SECTION
SQUARE
FOOTAGE:
(EXCLUDING LAND VALUE)
/~ o ~o
5
SUBDiViSION NAME
1'NFO: ONS-mUCnO.
DER:
PLAN COMMISSION / BZA
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/O
SINGLE FAMILY
TOWN HOME
TWO FAMI,L.Y
# of units:
MULTi-FAMILY
# of Units:__
RESIDENTIAL (For
Additions, Remodels, Etc.)
[] NEW STRUCTURE
ROOM ADDTrJON(S)
PORCH ADDTHON(S)
[] REMODEL --
[] ACCESSORY BUILDING Which plumbing codes
~ DETACHED GARAGE []
C]] AI-rACHED GARAGE []
C] DEMOLITION
· Manufactured Y ~N construction ama)
?'-_N Trusses:
'~-~__N Sump Pump: Y ~__N ~ SLAB
Does any part of the property lie within a special Flood designation area: Y _~N
WALKOLJT: Y N