HomeMy WebLinkAboutCLE201300165 Legacy Document 2013-09-13veitici es, .anci any additi
'This Cleannce:will only'.be
Clearance will be;requirc&
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approved v�ithcon
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cearance., Tltierel
h the site p }an as oft
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Intake to complete the following:
Reviewer to complete the following:
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Square footage of Use:
I sin LI Ill orPDIP zonin ? Ifso give applicant a Certified
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Engineer's Report (CER) packet.
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Permitted as:
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Will sere be food preparation?
Under Section: 74 :.u.�� .
If so, give applicant a Health Department form.
zoning review can not begin until we receive approval front Health
Supplementary regulations section:
Dept. FAX DATE
Circle the one that applies
Parking formula: ! �J
Is parcel on private well o public' ate .
Ifprivate well, provide Health _ epar ment farm. .
Zoning_ review can not begin until we receive a pproval front Health "
Required spaces:
Dept. FAX DATE _
Circle the one that applies
Tten1s to be veriised in the held;
Is parcel on septic oicniiblic sewer?
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ou'be uttin up a new sign of an kind? If so, obtain
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Sign permit. "
Permit #
inspector I>a fe
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Notes:
Will there be any new construction or,renovations ?:'
if so, obt ' er P t
.Permit #;
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NOTE: THE INFORMATION SHOWN ON THIS DOCUMENT SHOULD BE CONSIDERED APPROXIMATE AND SHALL NOT BE USED FOR CONSTRUCTION OR LEGAL PURPOSES.
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