Laserfiche WebLink
t <br />` ZONING AND BUILDING CHECKLIST <br />1. Date of receipt of applications ~- e~ ~ " ~~ <br />2 . Application received by:: ~ CI -~ r <br />3 . Applicant ° j~Y ~ ,~,~ <br />a . Name 'td ~ hr C. ~ ni ~ ~, a ~i ~ ~- ( fit, i ~ ~ i a n4 /H R ~a lr o ~~ <br />b. Address ~ /.x_17 ~~ .~~ /V{~ ~9,~i ~ -~.~~fs ~.~ ~ q~'.e /I~~v~~e <br /> <br />c. Telephone: <br />4. Nature of application (Include case No. if applicable)e <br />~,,. , . . <br />0 <br />~LIC V9v aN ~-C /C< <br />~~ <br />}[, ~120~%0 11P~ IVY Rf ~aWS <br />5. arcs -Number of copies received ( S } and distributed toy <br />Clerk ( ~) Planner ( /) <br />Building Insp. ( ~ ) Manager's Office ( ,i) <br />Engineer ( /~) <br />6. Building Department <br />a. Building Inspection comments (attach additional sheets <br />if necessary): <br />2~~! j~~ , <br />Building Lnspector Date <br />