HomeMy WebLinkAboutCLE200600113 Legacy Document 2014-07-2205288/2006 09:36 2078926132
50
56-ff CLOUTIER BUILDING CP PAGE 02
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Applicant to complete the following-,
YV N
iota have one orth6 folio -'ing?
Tax Map ►nd parcel Number and or;
Address of•usc•(includc unit or floor if ttppropriatt;
Q'yavve a Fk9or Plan (sketch or ew architectural drawing) that
includes rho following, and if so please provide it WM the
application?
The total square footage of the use ut(ior, '� ;Qll
The square foovsgc of each room or area of 1150,
Use of each coon or area
'If tiring less than the cmire structure, note Tito location within the
staucx.+tce. F
a9p S/'
/ Codes
7.ot�igr Tmt h to cdtrlplete tha follow'iiz t
olAflons:
� w)S
Y nN
CLOUTIER BUILDING CP
Iptake to complete the following:
Y /�l
1s use ir) LI, M or PDIP zoning?
Engineer's Report (CER) packet,
PAGE 03
If sc, give. applicant a Certified
Will thharc be food preparation?
if ao, give applicant a, Health Department form.
Zoning mcvien can not begin until we raccive approvhi from
Hte, h Dcpt, FAX DATE
Y/d
Is patrol on private well and septic?
If so, give applicant a Hralth pcpas went form.
Zoning reviow can not burin until we receive approval from
Health Dept. FAX DAT , w Y
AN
on public water and sewer?
Y/ N
Will you be putting up a qew sign of any kltid? If so, obtain
proper Sign permit.
}Permit #,—
;Vl N
Will there be sny now conatMetion or renovations?
If so, obtain the progr Permit.
Peranit M O ! C
Y /N��
I.4 this for sales of fireworks?
if so, obtain a copy of r/R pcmut.
lPerralt *
Praffu%Lrs,
Y/
Ifs , L' ,
5Y'�•
Y
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10/14/05 Page 3 of 4
Reviewer to complete the following:
Squaice footage of Use:
Y993&
[]� YES ❑ NO i
Permitted as:
4
!� A
Under Section: • a. (� "1 rc� %c -,J
Supplementary regulations section: -- Vvt9...
tIv-
Parking formula: t a 0
Required spaces:
❑ YES ❑ NOb'�b��
Items to be verified ir! the field.". 6 F Vim m = 21
,vC.
6'
Inspector Name & Date:
Notes
v. tD
5/1/06 Page 4 of