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RECORD LOT NO. <br />?^lS°formNCIPAL DWELLING CONDITIONAL USE PERMIT PAGE -2- - <br />Yes <br />X£ SO wnctcA _ _ ___ _ _ <br />7. How «ny person, reside here as their principal residence (on the average) <br />8. HOW many days per year is the property occupied! <br />(b) Part et - - - -day. («i»e exanple of date. <br />or <br />(c) Off and on throughout the year, totalling <br />used last year) _ _ _ ___ _ _ _ __———- - - - <br />lildings are on tne property - - - - - -- - -^- - - - - - - - - - <br /><u <br />a. i. » vear^’ 6^1!^ was added onto in what year (s)?10. Dwelling was built when (approx, year) renodeled in what yearP_ _ <br />11 Approx, dwelling sire (floor area) Ist^ft. X VLj'-'j orV£0_sq. ft.; <br />U^rh^ many b.droons!_2^“d JSTJle.p up to _^ersons. <br />12. Dwelling construction is frane (wood) ^—; or what other material! <br />A permanent foundation Is required. What exists now? basement <br />soace >< : open floor with piers- - - - -; other- - - - - --- -- <br />What is type and amount of insulation in: walls; v, /(.^^-^ <br />celling/roof I J i-’ ^ <br />: crawl <br />ioraTfuLi:“"*:!:!“aJ: snti”^i ':i:rs?™i(,)_^ <br />other <br />I^nLlfthlnglerX^"^ T^iLrLnrwo^.^!!!!^ TrlVted wood- - - -^ <br />13. Plumbing and Septic systems will be required by or before Jan. 1. 1983. What <br />exists now? <br />No. of toilets ^ : bathroom sinks _/_ _: tub or shower - -/ <br />kitchen sink_^ : other <br />(b) <br />(c) <br />No. of septic tank (s) / and size in gallons .j^and <br />Amount of drainfield: No. of lines ^ ; length- <br />total Sq. footagefA a d <br />Location of Se^c tanks/drainf ield on lot (direction from house): <br />Date of <br />and name <br />septic system <nstallatlon/last repair fT CP <br />of contractorana name ot tum,A<av.i,wA ^ j— <br />14. Vjat type of d^stlc <br />(b) well: depth Inches: flow rate <br />pump type: elec.>^ ; gasoline <br />year drilled <br />other: <br />by (contractor's name) <br />^ •mcAct? rnMTTvmr OM PAHF