HomeMy WebLinkAboutCLE200900048 Legacy Document 2012-08-27Intake to complete the following:
Is / �
Is us al, I, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /
Will Ce be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on private well or p, is at ?
If private well, provide He D ent form.
Zoning review can not begin u 'I e receive approval from Health
Dept. FAX DATE
Circle the one that app i s
Is parcel on septic or ii�l. c s e ?
Y/N
Will you be puttin up a new sig Qf any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any n w construction or renovations?
If so, obtain the pro r Permit.
Permit #
Zonina to comDlete the followine:
Reviewer to complete the following:
Square footage of Use: v,
fitted as: ,�� " '"1 U/ 0-
Under Section: 10 ,),
Supplementary regul onsection:
Parking formula: d A
Required spn c� A /' 1U UA-OY
Y/N
Items to be verified in the field:
Vio ns:
Y/
If so,``List:
Prof s:
Y/�
Ifs ist:
Varil e:
Y/ -
If so, List:
Y
SP's•Pist:
If s
Clearances:
SDP's
Revised 04/28/08 Page 3 of 3