HomeMy WebLinkAboutCLE201400225 Legacy Document 2014-12-04n
P
Intake to complete the following:
Y CN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
]�)/ N
Will there 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 public wnt
If private well, provide 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 septic or public sewer?
Y,/ N
k�,rrill you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
V Y J/ N
ill there be any new construction or renovations?
If so, obtain the proper Permit. '
Permit #
Zoning to comnlete the following:
Reviewer to complete the following:
Square footage of Use: I t4
0/ N
Permitted as: e
Under Section: " SA .2.1
Supplementary regulations section:
Parking formula:
Required spaces:��
Y/
Items to be verified in the field:
Inspector : Date:
Notes:
Violations:
O/N
If so, List:
coffers:
/N
f so, List:
Var• nce:
Y/5
If so, List:
SP's:
Y /ICI
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
Hand delivering a copy of the application to
the owner of record of Tax Map
by delivering a copy of the application in the
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to tlTe owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
0��
Signature o pplicant
Print Applicant Name
p,1,?-r �
Date
G
I
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13E
13D rm. fr,Al W. (4B TYP.
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SOFFIT
WI -6" 48" HIGH
---- �r- - - - - -- A.F.F. - -- WALL
LH 2 - ®®
s
------ �____= 19 = = = = =J L - - - -- = = = = =J 23 1 4
IA I
v . --N 24
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HIGH SPEED DATA LINE
& MODEM LINE REQUIRED
2 PANELS HEADE_RWALL 29 ®61-8.
II A.F.F. 48" HIGH 48 7 PANELS WALL
A.F.F. A, RH 25 ABOVE 29
II LH #34 A.F.F.
9 � � 7 �; ICE ON TOP
II . IE) � Iii — — —• u � —u L A,, a. 1l .Il. .N.
FURNITURE AND EQUIPMENT PLAN
SCALE: 1/4"
(a
RESTROOMS TO HAVE
1
15
.....................
......... .......................
...............
..................
13E
13D rm. fr,Al W. (4B TYP.
i 8 �'•
SOFFIT
WI -6" 48" HIGH
---- �r- - - - - -- A.F.F. - -- WALL
LH 2 - ®®
s
------ �____= 19 = = = = =J L - - - -- = = = = =J 23 1 4
IA I
v . --N 24
0 0 a o
HIGH SPEED DATA LINE
& MODEM LINE REQUIRED
2 PANELS HEADE_RWALL 29 ®61-8.
II A.F.F. 48" HIGH 48 7 PANELS WALL
A.F.F. A, RH 25 ABOVE 29
II LH #34 A.F.F.
9 � � 7 �; ICE ON TOP
II . IE) � Iii — — —• u � —u L A,, a. 1l .Il. .N.
FURNITURE AND EQUIPMENT PLAN
SCALE: 1/4"
(a
RESTROOMS TO HAVE
1
15