HomeMy WebLinkAbout1962-02-14 Request for Site InspectionNo*VlU-AGii OF ORONO
Crystal Bay, Hinn.
RFmi'.ST FOR SITE EXAMINATION
(Co!nf)lete in Duplicate)
This form to be used in all applications for j>eriiiits for building, plumbing, sewage
disposal, rezoning, moving a structure, dividing or consolidating parcels of land.
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Type of Application
Owner of Property: Name
Ad dr__ _ _ _ _
Applicant (other than owner) Name d ^
^^ddre ss _ if ^
Relationship to Owner
Date /V/ /
Phone No.
Phone
y?^/y7aA
Location ^ow do we find it?):
«»#*
Legal Description:^/ / id d*y /0 / 77 P ,
^ ^ ' ^ngle OwneDate Acquired^jVrsa (sq. ft.)
Date of last Division of this Property
Do you own any Adjoining Prop^ty?
Action Requested
Ingle Ownership?
Separate Ownership?
Attach sketch, plat plan or survey and any additional data.
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Signature of Applicantpplicant
RFCOKl) OF ACTK^ TAKFN
Application Received by
Referred to: ________
Datei
Inspection ConducteU by
Recorasendatlon
Planning Commission • Date Consideif d J 2^
Date
Date
Rec CCTsendat ion:
? 4
JPlanning Coamission Subcc^itiee - Date Inspected g-/7 Chairmnt::i«><>y. SsMtu •fiLtd
Reconsiendat ion X -
Planning Comission - Date ^ ~ ^ 4 Rec owwe nda t i on:
Cotsicll •• Date lotion Taken
Permit Issaed • Date