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Building permits.pdf

Kloha Family LLC, Petitioner V Township Of Saginaw, Respondent · 25-001612-TT

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Page 1

Saginaw Township 

Building Permit No PB22-044 

Community Development Department 

4980 Shattuck Rd. 

Saginaw Michigan 

48608-6400 

Phone: 

(989) 791-9865 

Fax: 

(989) 791-9859 

1554 BRYN MAWR PL 

Location|| 

Issued: 03/28/22 

23-12-4-19-1027-005 

Construction Type: 

5B 

Use Group: 

R-2 

Lot 

PLEASE CALL 

(989) 791-9865 

KLOHA FAMILY LLC 

24 HOURS IN ADVANCE FOR AN INSPECTION 

PO BOX 12 

Contractor 

FREELAND 

Ml 

48623 

KLOHA CONTRACTING LLC 

PO BOX ONE 

Ph# 

FREELAND 

MI 

48623 

Work Description: 

Single Story Duplex 

Plans are in the property file. 

Permit Item 

Work Type 

Fee Basis 

Item Total 

Construction Cost >$3,000 

Valuation 

200,000.00 

$1,680.00 

Sewer Connection 

Inspection 

1.00 

$80.00 

Sewer Sys. Devel. Fee 

Standard Item 

0.75 

$1,190.00 

Sewer Sys. Devel. Fee 

Standard Item 

0.75 

$1,190.00 

Code Official 

Fee Total: 

$4,140.00 

Contact the Saginaw Co. Rd. Commission prior to the commencement of any work to secure a driveway permit. 

Amount Paid: 

$4, 140.00 

Notification of intent to renovate and/or demolish may need to be submitted to the State of Michigan, DEQ, ten (10) 

. 

working days prior to the commencement of demolition work. Contact Mr. Chad Rogers @ 1-517-241-7532 for more 

Balance Due: 

$0.00 

information. 

T agree this permit is only for the work described, and does not grant permission for additional or related work which requires separate permits. 

I understand that this permit 

will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a period of 180 days at any time after work has 

commenced; and, that I am responsible for assuring all required inspections are requested in conformance with the applicable code. 

Thereby certify that the proposed work is authorized by the owner, and that I am authorized by the owner to make this application as his authorized agent. I agree to conform to| 

all applicable laws of the State of Michigan and the local jurisdiction. All information on the permit application is accurate to the best of my knowledge. 

Payment of permit fee constitutes acceptance of the above terms.

Page 2

=< xLICATION FOR BUILDING PERMIT AND PLAN EXAMINATION 

& 

i 

y 

; 

{ 

SAGINAW CHARTER TOWNSHIP 

Parcel ID. # 

oN | 2=Y 

1 Yq ~id 27-00 

4980 Shattuck Rd., Saginaw, MI 48603 

(989) 791-9865 Fax: (989) 791-9859 

Permit# [B22 o44 

WWWw.saginawtownship.org 

Date Issued: 

= —=-F=< =z 

AUTHORITY: 

PA. 230 OF 1972, AS AMENDED 

THE DEPARTMENT WILL NOT DISCRIVINATE AGAINST ANY INDIVIDUAL OR GROUP 

COMPLETION: 

MANDATORY TO OBTAIN PERMIT 

BECAUSE OF RACE, SEX, RELIGION, AGE, NATIONAL ORIGIN, COLOR, MARITAL 

PENALTY: 

PERMIT WILL NOT BE ISSUED 

STATUS, HANDICAP, OR POLITICAL BELIEFS. 

APPLICANT TO COMPLETE ALL ITEMS. IN SECTION I, II, 1, IV, 

VAND.v] 

NOTE: SEPARATE APPLICATIONS MUST BE COMPLETED 

FOR PLUMBING, MECHANICAL, AND ELECTRICAL WORK PERMITS 

I. PROJECT INFORMATION 

PROJECT NAME 

o 

ADDRESS 

ZIP CODE 

Wiha (gy fruchins (LC 

(Sss4 Bry. Mawse Ol. 

HYEL3R 

PROJECT DESCRIPTION 

- 

A 

~ 

New 

{Dpiex 

Home 

LSS 

In IDENTIFICATION 

A. OWNER OR LESSEE 

NAME 

. 

] 

Co 

ADDRESS 

Wid 

{on rene blpe LLC 

O. QO 

- QQ DY 

~ 

) 

CITY 

~7 

STATE 

ZIP CODE 

TELEPHONE NUMBER 

Tleelowcad 

MAT 

Mr 

“E623 

EE 

] 

B. ARCHITECT OR ENGINEER 

NAME 

ADDRESS 

AB 

= 

[¢123 

STATE 

" ZIP CODE 

‘TELEPHONE NUMBER 

— 

_ 

LICENSE NUMBER 

C. CONTRACT! 'OR/APPLICANT 

NAME 

N 

ADDRESS 

Yt opin orm 

) 

Fo 

Soy 

(2 

[*127 — 

* 

ji 

{ 

ZIP CODE 

TELEPHONE NUMBER 

Ser SN SY) 

! 

1 Ez > 

EXPIRATION DATE 

BUILDER: 

LICENSE NUMBER 

£-31-2 73 

| FEDERAL EMPLOYER IS NOVBER OR Rens. + < XEMPTION 

J 

Aa 

7 

WORKERS COMP INSURANCE CARRIER OR REASON FOR EXEMPTION 

. 

Ma D 

9 2 

. 

FAN 

& 

J ono 

i 

A Cou. 

cv 

oo 

<0 LIP 

MESC EMPLOYER NUMBER 

OR REASON FOR EXEMPTION 

SAGINA Ww C 

A 

W 

CH. 

o 

ADs 

TOWNS 

Hip [SHAR TER 

II. TYPE OF IMPROVEMENT AND PLAN REVIEW 

SYRER 

A. TYPE OF IMPROVEMENT 

1, L5<%ew suome sO ALTERATION 

5. 

OO pemoumion 

7. 

O 

FounpaTiON ONLY 

9. 

O 

ReLocaTion 

2. 

OO 

aApprrion 

4. 

[0 repaR 

6. 

[J 

MOBILE HOME SET-UP 

8. 

0 PREMANUFACTURE 

10. 

01 

SPECIAL INsPECTION 

B. REVIEW(S) TO BE PERFORMED 

Epon 

ERecriear 

agcuanicas 

Fomine 

OI FounpaTion 

REV 02/11 

Page 1

Page 3

- ~OPOSED ysg OF BUILDING 

A RESIDENTIAL 

1. 

1 oNEFaMLY 

3 

O 

Hore, MOTEL 

5s 

0 STORAGE BUILDING, SHED or 

NO. oF unrTs 

POLE BU ping 

2 & 

wo OR MORE Fam 

4 

0 ATTACHEDIDETACHED GARAGE 

8. 

O other 

NO. OF UNITS 

_ 

B. NON-RESIDENTIAL 

. 

0 AMUSEMENT 

1.0 SERVICE STATION 

8 

0 CHURCH, RELIGION 

0 

INDUSTRIAL 

2 

00 Hosta, INSTITUTIONAL 

13 

0 orice, BANK, PROFESSIONAL 

18. 

J 

PUBLIC UTiLiTy 

15. 

0 scHoor, LIBRARY, EDUCATIONAL 

6. 

O 

store, MERCHANTY 

17. 

TOWERS 

PE 

sei 

PROCESSING PLANT, MACHINE SHOP, LAUNDRY BUILDING AT 

SCHooL, PARKING GARAGE FoR DEPARTMENT STORE, RENTAL OFFICE 

BUILDING 15 BEING CHANGED, ENTER PROPOSED USE. 

V. SELECTED CHARACTERISTICS OF BUILDING 

A. PRINCIPAL TYPE OF FRAME 

7 

[+o MASONRY, wa BEARING 

2.000 FRAME 

a0 STRUCTURAL sTER, 

4.0 REINFORCED CONCRETE 

5. O other 

i 

B. PRINCIPAL TYPE OF HEATING ENERGY 

Boas 

7.0on 

& 0 eectriemy 

o. 0 coa, 

10. 

0 orueg 

C. TYPE of SEWAGE DISPOSAL 

| 

1:5 Peusiic ORPRIVATE Company. 

12. 0 sePmic sysrey 

. 

D. TYPE of WATER SUPPY 

2 

Revers OR PRIVATE Company 

4. 0 PRIVATE wey. OR CISTERN 

E. TYPE of MECHANICAL 

18. WILL THERE pe. AIR CONDITIONING? 

Wes 

O no 

\ 

16. WILL THERE ge FIRE SUPPRESSION? 

O ves 

XA NO 

DIMENSIONS/DATA SL SF @ Qt 

17. NUMBER of STORIES 

[ 

21. 

FLOOR AREA: 

EXISTING 

ALTERATIONS 

NEW 

| 18. use croup 

E-Z 

' 

BASEMENT 

—_—r— 

a 

——— 

VAN 

19. CONST. Type 

5- 5 

_ 

182% m1 00g 

/ 

£ 

> 

20. NO; OF OCCUPANTS LE 

per Cr 

IP 10™ 

EL oor 

a _ 

e— 

{ 

11™_ Agove 

A 

~~ - 

—_— 

| — 

| 10% parunt 

/ 

i. NUMBER OF OFF STREET PARKING SPACES 

{ 

- ENCLOSED 

23. OUTDOORS 

—_— 

’ 

| 

Page 2

Page 4

-=<GY CODE COMPLIANCE 

[ 2 ares or comme 

See Re 

Chocie 

| R= VALUES OF Celngs 

=X 

25. AREAS OF SKYLIGHTS 

) 

| U~ VALUES OF sicviigrrs 

—_— 

26. AREAS OF way, § 

| 

| R~ VALUES OF way 

R Def 

27. AREAS OF WiNbows 

| 

| U- VALUES OF winpops 

PES) 

28. AREAS OF DOORS 

| 

| U- VALUES OF pooRs 

A 

I 

25. AREAS OF BASEMENT warrg 

[| 

| R VALUES OF BASEVENT yar 5 

30. AREAS OF FLOORS oven UNCONDITIONED space 

| / 

| R~ VALUES OF FLOORS ove UNCONDITIONED Space 

i) 

31. AREAS OF CRAWL SPACE waite 

| R~ VALUES OF CRAWL SPACE wage 

32. FURNACE EFFICIENCY 

7 { Uo - 

33 AR CONDITIONING sggr RATING 

i2 

0.5 Joa 

VI. APPLICANT INFORMATION 

APPLICANT IS RESPONSIBLE FOR THE PAYMENT oF ALL FEES AND CHARGES APPLICABLE TO. THIS APPLICATION. 

' HEREBY CERT IFY THAT THE PROPOSED WORK IS AUTHORIZED BY THE OWNER OF RECORD AND THAT [HAVE BEEN AUTHORIZED BY THE OWNER TO 

MAKE THIS APPLICATION AS HISHER AUTHORIZED AGENT, AND Wg AGREE TO CONFORM TO ALL APPLICABLE LAWS. ALL INFORMATION SUBMITTED oN 

THIS APPLICATION ISACCURATE TO THE BEST OF MY KNOWLEDGE, 

Section 233 of the State Construction Code Act of 1972, 1972 PA 239, McL 12515234, Prohibits 3 person from conspiring to. circumvent the 

licensing requirements of this state. relating to Persons who are to Perform work on a residentiaj building or 3 residential structure. 

Violators of Section 233 are Subjected to civil fines, 

. 

SIGNATURE OF APPLICANT 

; wa “A, 

DATE "2-H 

5 2. 

ESTIMATED cost oF 

“1 

| Building Permit Fee 

iE: 

[ C50, Sn) 

CONSTRUCTION 

Cun 

Blo coe 

|Sumsmen 

4 Z,3 ED ce 

Ter, At 

Sewer Permit Fee 

N 

op 

i 

N 

A (A 

ey 

Ey 

] 

Wbcrmery> 

Drainage Review Fee 

( 

[Ee 

re 

Vil. FOR DEPARTMENT USE 

\ AC 

. 

- 

4 

ZONING DISTRICT 

E-= 

STREET YARD 

5 2 

STREET YARD 

BACKYARD SO "11 4, 

SIDEYARD(s) 

 ((O' M “SIDE vaRp TOTAL =O 

woos - 

REQUIRED? 

_APEROYED 

DATE 

B. ZONING 

N—/ == 

/ 

Pa 

— 

= _ [7-2 

| C- DRAINAGE REVIEW 

| o 

7 

— 

D. SOIL ERosIoN 

Ne 

—_— 

— 

E.FLOOD PLAIN maT, 

NL 

— 

- 

F. SEPTIC 

AN o 

_ 

J 

G.SDEWALK 

EN 

—_— 

J 

To 

H. DRIVEWAY 

~; =<, 

S.C. FF <, 

Tze == 

1. OTHER 

JN— 

J 

—

Page 5

Saginaw Township 

Building Permit No PB22-053 

Community Development Department 

4980 Shattuck Rd. 

Saginaw Michigan 

48608-6400 

Phone: 

(989) 791-9865 

Fax: 

(989) 791-9859 

1538 BRYN MAWR PL 

Location 

Issued: 04/04/22 

23-12-4-19-1029-000 

Construction Type: 

5B 

Use Group: 

R-2 

Lot 

PLEASE CALL 

(989) 791-9865 

KLOHA CONTRACTING LLC 

24 HOURS IN ADVANCE FOR AN INSPECTION 

PO BOX ONE 

Contractor 

FREELAND 

Ml 

48623 

KLOHA CONTRACTING LLC 

PO BOX ONE 

Ph# 

FREELAND 

Ml 

48623 

Work Description: 

Single Story Duplex 

Plans are in the property file. 

Permit Item 

Work Type 

Fee Basis 

Item Total 

Construction Cost >$3,000 

Valuation 

200,000.00 

$1,680.00 

Sewer Connection 

Inspection 

1.00 

$80.00 

Sewer Sys. Devel. Fee 

Standard Item 

2.00 

$2,380.00 

Code Official 

Fee Total: 

$4,140.00 

Amount Paid: 

$4,140.00 

Contact the Saginaw Co. Rd. Commission prior to the commencement of any work to secure a driveway permit. 

Notification of intent to renovate and/or demolish may need to be submitted to the State of Michigan, DEQ, ten (10) 

1 

D 

. 

working days prior to the commencement of demolition work. Contact Mr. Chad Rogers @ 1-517-241-7532 for more 

Balance 

Due: 

$0.00 

information. 

Tagree this permit is only for the work described, and does not grant permission for additional or related work which requires separate permits. 

I understand that this permit 

will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a period of 180 days at any time after work has 

commenced; and, that 

I am responsible for assuring all required inspections are requested in conformance with the applicable code. 

I hereby certify that the proposed work is authorized by the owner, and that I am authorized by the owner to make this application as his authorized agent. I agree to conform toi 

all applicable laws of the State of Michigan and the local jurisdiction. All information on the permit application is accurate to the best of my knowledge. 

Payment of permit fee constitutes acceptance of the above terms.

Page 6

~ATION FOR BUILDING PERMIT AND PLAN EXAMINATION 

Q oh @d Peet 

SINAW CHARTER TOWNSHIP 

#80 Shattuck Rd., Saginaw, MI 48603 

(989) 791-9865 Fax: (989) 791-9859 

Www.saginawtownship.org 

Parcel LD. # 

2-1-y - 

1 

-17857-0 

Permit# 

VT 

> &- — OS 

3 

Date Issued: 

A—4- pa 

AUTHORITY: 

P.A. 230 OF 1972, AS AMENDED 

COMPLETION: 

MANDATORY TO OBTAIN PERMIT 

PENALTY: 

PERMIT WILL NOT BE ISSUED 

THE DEPARTMENT WILL NOT DISCRIMINATE AGAINST ANY INDIVIDUAL OR GROUP 

BECAUSE OF RACE, SEX, RELIGION, AGE, NATIONAL ORIGIN, COLOR, MARITAL 

STATUS, HANDICAP, OR POLITICAL BELIEFS. 

APPLICANT TO COMPLETE ALL ITEMS 

IN SECTION LIL, IIL, IV, V AND VI. 

NOTE: SEPARATE APPLICATIONS MUST BE COMPLETED 

FOR PLUMBING, MECHANICAL, AND ELECTRICAL WORK PERMITS 

lQ-%-/9-/039-000 

I. PROJECT INFORMATION 

PROJECT NAME 

ADDRESS 

ZIP CODE 

ida Con fucking (LC 

8x9 3 J Boys Mavs Pl. 

YEL3 2 

New 

Dpley 

How 

II. IDENTIFICATION 

A. OWNER OR LESSEE 

NAME 

ADDRESS 

— 

Aloha 

(on Yeuc ting LLL 

Po. Box 

1 

CITY 

~7 

STATE 

ZIP CODE 

TELEPHONE NUMBER 

ree toned 

MTT 

Mr 

“EL 

R 

B. ARCHITECT OR ENGINEER 

NAME 

ADDRESS 

AJB 

CITY 

STATE 

ZIP CODE 

TELEPHONE NUMBER 

LICENSE NUMBER 

C. CONTRACTOR/APPLICANT 

NAME 

Loic $A Cover, == 

CITY 

— 

oS 

ZIP CODE 

| TELEPHONF NUMBEP 

dV [Tec =3T 

BUILNERS' LICENSE NUMBER 

EXPIRATION DATE 

0g 7p 

- 23 

FEDERAL EMPLOYER ID NUMBER OR REASON FOR EXEMPTION 

SAGINA YY 

/ OWN 

CHARTERS 

Prec At 

WORKERS COMP INSURANGE CARRIER OR REASON FOR EXEMPTION 

tOITTEAS UR 5 ~ 

~ 

MESC TREE OR REASON FOR EXEMPTION 

; 

= 

_ 

(a 

ll. TYPE OF IMPROVEMENT AND PLAN REVIEW 

A. TYPE OF IMPROVEMENT 

= 

1_LS<NEW BUILDING 

3. 

OO 

ALTERATION 

s. 

O 

bpemoLmion 

7. 

0 

FOUNDA] 

4 

9..-0 

RELOCATION 

2. 

OO 

ADDITION 

4. 

O 

REPAIR 

6. 

00 MOBILE 

HOME SET-UP 

8. 

[0 PREMARUFAGTURE 

1 

SPECIAL INSPECTION 

B. REVIEW(S) TO BE PERFORMED 

[5 

= 

A 

Bectrenr 

iRcuanica 

AFH 

* FOUNDATION 

REV 02/11 

Page 1

Page 7

JPOSED USE OF BUILDING 

RESIDENTIAL 

1. 

OI 

ONE FAMILY 

2. & 

two OR MORE FAMILY 

NO. OF UNITS 

ig pu 

3. 

0 

HOTEL, MOTEL 

NO. OF UNITS 

4. 

00 

ATTACHED/DETACHED GARAGE 

5. 

OO 

sTorace BUILDING, SHED or 

POLE BUILDING 

6. 

[0 

oTHER 

B. NON-RESIDENTIAL 

7. 

O 

AMUSEMENT 

11. 

O 

SERVICE STATION 

15. 

00 

SCHOOL, LIBRARY, EDUCATIONAL 

8. 

[0 

CHURCH, RELIGION 

12. 

[0 

HOSPITAL, INSTITUTIONAL 

16. 

[1 

STORE, MERCHANTILE 

9. 

O 

INDUSTRIAL 

13. 

[0 

OFFICE, BANK, PROFESSIONAL 

10. 

[1 

PARKING GARAGE 

14. 

0 

PUBLIC UTILITY 

OTHER 

NON-RESIDENTIAL ~ DESCRIBE 

IN DETAIL PROPOSED USE OF BUILDING, E.G. FQ 

BUILDING, OFFICE BUILDING AT INDUSTRIAL PLANT, IF USE OF EXIST 

HOSPITAL, ELEMENTARY SCHOOL, SECONDARY SCHOOL, COLLEGE, PAROC 

HOOL, PARKING GARAGE FOR 

SHOP, LAUNDRY BUILDING AT 

DEPARTMENT STORE, RENTAL OFFICE 

LDING IS BEING CHANGED, ENTER PROPOSED USE. 

|"V. SELECTED CHARACTERISTICS OF BUILDING 

A. PRINCIPAL TYPE OF FRAME 

2B wvo0n FRAME 

1. 0 MASONRY, WALL BEARING 

3. 

[J STRUCTURAL STEEL 

4. 00 REINFORCED ‘CONCRETE 

5. 00 oTHER 

B. PRINCIPAL TYPE OF HEATING ENERGY 

+ Yeas 

7.0 on 

8. 0 ELECTRICITY 

9. O coaL 

10. 

00 OTHER 

C. TYPE OF SEWAGE DISPOSAL 

1 J 

ruse OR PRIVATE COMPANY 

12. OI SEPTIC SYSTEM 

D. TYPE OF WATER SUPPY 

12. WeusLic OR PRIVATE COMPANY 

14. 0 PRIVATE WELL OR CISTERN 

| E. TYPE OF MECHANICAL 

18. USE GROUP 

w-7 

BASEMENT 

15. WILL THERE BE AIR CONDITIONING? 

Woes 

O no 

\ 

16. WILL THERE BE FIRE SUPPRESSION? 

[J YES 

vo 

F.DIMENSIONSIDATA SZ 

5 

+ 

: 

FOS 

ira 

"17. NUMBER OF STORIES 

21. FLOOR AREA: 

EXISTING 

ALTERATIONS 

NEW 

IA 

a 

19. CONST. TYPE 

S 

> 

157 & 2" FLOOR 

| 

| 20. NO: OF OCCUPANTS & 

Fez 

Ceo 

3% 

10™ FLOOR 

E 

\ 

11™_ ABOVE 

TOTAL AREA 

) 

/ 

/ 07% prs un 

| G. NUMBER OF OFF STREET PARKING SPACES 

( 

' 

22. ENCLOSED 

23. OUTDOORS 

Page 2

Page 8

AGY CODE COMPLIANCE 

AREAS OF CEILING 

Leo Re 

Choc 

R— VALUES OF CEILINGS 

RY [4 

25. AREAS OF SKYLIGHTS 

U- VALUES OF SKYLIGHTS 

— 

26. AREAS OF WALLS 

R~ VALUES OF WALLS 

R p> 

27. AREAS OF WINDOWS 

U- VALUES OF WINDOWS 

Ne) 

28. AREAS OF DOORS 

U- VALUES OF DOORS 

Re 

29. AREAS OF BASEMENT WALLS 

R ~ VALUES OF BASEMENT WALLS 

‘ 

30. AREAS OF FLOQRS OVER UNCONDITIONEQ SPACE 

/ 

R~ VALUES OF FLOORS OVER UNCONDITIONED SPACE 

1) 

31. AREAS OF CRAWL SPACE WALLS 

R— VALUES OF CRAWL SPACE WALLS 

32. FURNACE EFFICIENCY 

aq { do - 

33. AIR CONDITIONING SEER RATING 

i 

1.5 ka 

VI. APPLICANT INFORMATION 

APPLICANT IS RESPONSIBLE FOR THE PAYMENT OF ALL FEES AND CHARGES APPLICABLE TO THIS APPLICATION. 

I HEREBY CERTIFY THAT THE PROPOSED WORK IS AUTHORIZED BY THE OWNER OF RECORD AND THAT | HAVE BEEN AUTHORIZED BY THE OWNER TO 

MAKE THIS APPLICATION AS HIS/HER AUTHORIZED AGENT, AND WE AGREE TO CONFORM TO ALL APPLICABLE LAWS. ALL INFORMATION SUBMITTED ON 

THIS APPLICATION IS ACCURATE TO THE BEST OF MY KNOWLEDGE. 

“OWNER 

” CONTRACT OR 

DESIGN PROFESSIONAL 

*If there is a fire alarm system, contact Saginaw Township Fire Department at (989) 792-9691 prior to any demolition for protection requirements. 

Section 23a of the State Construction Code Act of 1972, 1972 PA 230, MCL 125.1523A, prohibits a person from conspiring to circumvent the 

licensing requirements of this state relating to persons who are to perform work on a residential building or a residential structure. 

Violators of section 23a are subjected to civil fines. 

SIGNATURE OF APPLICANT 

4 \.0 

“dye — 

DATE 

= _ 17 yr) 2 

ESTIMATED COST OF 

: 

Building Permit Fee 

4] 

| WY 

aw SO 

cw <a) 

CONSTRUCTION 

D0 

, 0s 

Ere 

Serene 

£2,550, Ob 

rev ~~ 

Sewer Permit Fee 

Fs [Zsa] OD 

Kerr 

5 Ie q 

NATE 

Drainage Review Fee 

MN ((> A 

pet Erez > 

Plan Review Fee 

NAL 

Vil. FOR DEPARTMENT USE 

A. SETBACKS 

lectosed 

CC tonic e 

voi 

E1 

ZONING DISTRICT ¥~2. 

| STREET YARD 

STREET YARD 

BACK YARD 

SIDE YARD(S) } 

SIDE YARD TOTAL 

REQUIRED? 

__—ARPROVED/ 

DATE 

B. ZONING 

a 

(EC 

2 [72 

C. DRAINAGE REVIEW 

IN o 

— 

—_ 

D. SOIL EROSION 

Ne, 

— 

E. FLOOD PLAIN MGT. 

jN o 

— 

— 

F. SEPTIC 

Noo 

_— 

a 

‘e.sEwatk | 

No 

| 

— 

T— 

H. DRIVEWAY 

ya 

<3 LF 

hk (—22 

1. OTHER 

— 

—

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