HomeMy WebLinkAboutCLE201500030 Legacy Document 2015-03-02Intake to complete the following:
Is/
Is us in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
t) / 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 2/ZL�Z�S
Circle the one that applies
Is parcel on private well orer?
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 u c
Is parcel on septic or ps .
Y/N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit #
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Zonine to complete the followi
Reviewer to complete the following:
Square footage of Use;
jd/N
Permitted as: C, 5-7L,1
Under Section: 64P
Supplementary regulations section:
Parking formula; '
V-U�
Required spaces: Z
�teVto
be verified in the field:
Inspector : Date:
Notes:
Violations:
(2)/N
If so, List:
Proffers:
(J/N
n f
If so, List: <::J1
Variance:
Y/ 9
If so, List:
SP's:
Y/a
If so, List:
Clearances:
SDP's
Revised 7/1/2011 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
[address; written notice: mailed to the 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