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2+ <br /> <br /> BUILDING INSPECTION <br /> <br />DesertiOn detail the ,~e of and/or co=ditjes stored in the pro~$ed utructur~ <br /> <br />Is the proposed structure located within a flood plain? Y __ N ~ <br /> <br />Does the proposed s~ucture have any of the following systems? <br />Electrical Y N ~. Plumbing Y Mx' Heating/Coollng/v~ntilation Y N ~ <br />Where will restroom facilities be provided? ~ <br />Will persons be working in the structure mo~e than a total of 144 hours, during any <br />weak of the year? Y N ~ <br /> <br />IS this structure used by the public at any time? Y N ~ <br />Explain: <br /> <br />10. What is the distance frDm the proposed structure to property lines and/or other <br /> structures? Front /~t~ ~,~'~ Rear ~/~ <br /> Left Si~'~--~~ Right Side~C~-/~.~/~D~her structures <br /> <br />11. Thi~ appllcati0n will ~o~e considered Complete without a site ~lan. See attached <br /> site plan requirements. <br /> <br />I certify that I have read this application and state that the info~atlon given <br />c0r~ect. I agree to comply with all state laws and county ordinances relating ~o b~ildlng <br /> <br />DATE <br /> <br />P~ONE <br /> <br />OFFICE USE ONLY SITUS NO, <br />PLANNING DIVISION: <br /> Validated By:~"~ Approved: <br /> <br />NAM~ (PleaWe prj~%t) /,r /-:-.~ / <br /> c?/9 7~ ~ ~.-~ /~ ~ ~". <br />STREET AD~ ~ <br /> <br /> STATE 'ZIP <br /> <br />Denied: Date= ~'Z~- ~j <br /> <br />COMMENTS: <br /> <br /> BUILDING DIVISION=~ / <br /> Validated By: ~ Approved: Denied: Date: <br /> <br />APPROVED: DENIED: STRUC~ PE~IT I$ ~QUI~D <br /> Other pe~its required: Electrical, Pluming, Mechanical, Septic <br />MC 15-76 <br />REV 9/93 <br /> <br /> <br />