HomeMy WebLinkAbout1790 ANDREA AVE; ; 62-4153; PermitLEGAL DESCRIPTION ................... 1.D ............................................... .............................................................................................................. Lot Block Subdivision
or .................................................................................................................................. ............................ ........................... Section .................................... Township Rang.
Located at ...... /..T.yz! ............ &&dR&e ............................ Street. Near ....... b@ ... //e/ ............................................................. Assigned Hours Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ........Me... ................ (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES .... d: NO .................
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND A
if a check is tendered for payment of the above fee and the check is
not honored when presented for payment. your Building Permit will be immediately revoked.
I 1 Front Yard Set Back ... 2~0.~ ........... m.1 .. 2.l ................ DrivWd Yes ( ) No [/Fee .....................................
Side Yard Set Bask ..... z...& ...................................................... Grading Permit Required Yes [ ) No [uf ..................................................... /
Rear Yard Set Back ....... 1.3 ........................................................ Sewer Disposal Plant Capital Cont. Fee ..................................................................... cl
r cl
Distance Between Bldg. 1.4 Sewer Pumping Station Capital Coni. Fee
Off Street Parking Spaces / Sewer Main Line Cost
Sewage Disposal System Sewer Lateral Connection Charge
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Zone - Residential ............................................................ ..........................................................................................
Zona . Commercial ( 1 .......................................................... Water Main Pipe Line Fee ............................................................................................
1 Water Stocked Lands Charge
Water House Service Charge .........................................................................................
Eng. Chest By Water Meter Charge ............................................................................................. "- -0 .. ................................................................................
Sublotat ........... ................................................................
Date ........ 2~-...~8..<...&...? ......................................................... Total Charger .................... gd .............................................................. - dD