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RESIDENTIAL IMPROVEMENT PERMIT APPLICATION
GaiOA TO'MISHI' DEvE!.<AENT & Zolll«iOmcE (614) ~25 PHONE, (614)895-1255 FAX
5111 5. ~ 3C HwY., WEsTmvuE, ()tO 43082, WWW.GENQA!'M>,CO¥
PLEASE Do NorfttLIN &wiBIAIIEAS
TYPE: 0 AoomON 0 ACCESSORY STRucTURE 0 DECK/PATIO 0 POOL j!j FENCE 0 OTHER: - - - PRoPERTYOWNER(s):
~UNGAIXH.ss:
Andrew Damiani
7062 Steeple Bush Ave.
DEvEl.oPERICONTRACTOit_Mae
__
Fence
_ _ _ _ _ _ _ PHoNE: 616.929.3526
PRIMARY CONTACT: Barb Judson
FAX: _74_0_.5_1_3_.3_5_1_1_ _ _ _ _ _ _ _ __
AtooE5S: 400 Dunlap St. Delaware
EMAIL: [email protected]
PRoPERTY ADDREss: 7062 Steeple Bush Ave.
SUSOMSION NAME (If APPUCABLE): SheiiBark Ridge
ZDNIHG DISTRICT(S):
~ RR
;iPRO
o SR
LOT NUMBER(s): 3482
loT SizE: -
UnUTIES: ~SEWER
o OTHER:
--
0 SEPTIC
:("REsvarnAl o INsmunOfW. o AGRICULTURAL o OTHER:
PRESENT USE(S):
0ESCRIPOONOFRECUEST(IICU.ONGPROP05EDDIIoiEHS«lNS):_1_92_'_o_f6_'_ce_d_a_r.!..prl_v_a_,cy~f-ence
_ _ _ _ _ _ _ _ _ __
PRoPosED SElw.CKS:
MEAsuREMENT:
fRONT YARD:
~
RIGHrSilE YARD:
~
lEfT SllE YARD:
FEET
REAR YARD:
FEET
LOT COVERAGE:
±
House +GARAGE:
FEET
S£1BACK FROiol HOWE:
r
PRoPoSED HEIGHT:
CooeAu.ows:
-~ fa _ FEET
NUMBER OF STORIES:
SUBI&SSlON REQUIREMENTS:
~
AccEssmY BululiiGS:
SO.. FT.
~H.~
5usroTAL:
SQ.
FT.
'OTHER:
SQ.
FT.
TOTAL:
SQ. FT.
'...C:U.US DfCI(S, MilOS, IJIMWAV!, .SUWAUCS.I'OCU N()01JB151!1U:Tlllf.t
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PRoPoSED NUMBER OF
ACCESSORY BUILDINGS:
o SITE PLAN -DRAWN TO SCALf INDICATING THE SIZE AND LOCATION o HEALTHDEPT.lEnER FOR LOTS WITH SEPT1C-{740)368-t700
OF AU EXJSTING AND PROFOSEO BUILDINGS AND IMPROVEMENTS.
o $50 APPliCATION FEE (MAY VAif'f IIASEO ON FEE SCHEDULE)
CONTAINED HEREIN IS TRUE. I AGREE THE IMPROVEMENT WILL eot.Fl.Y WITH PROVISIOOS OF llfE
1\n<;:LIY\, 1\,n:
.Xves
o No
REviEWED BY: _ __.,.;~~....;.__ _ __
LIST COMPLYWITH THE FOLLOWING CONDITIONS:
f--
:::::E
~~ANY
o CALL BEFORE You DIG -OHIO UTiunes PRoTEcnON SERvicE-(800) 362-2764
.._ SUBMITTED
o TRAsH AND OTHER WASTE MUST BE CONTAINED~·SITEAND DISPOSEIHF REGULARLY.
0 REau!RES DElAWARE Coumv Cooe COMPUAHCEAwRrNN..- (740) 83J.2200
o REauiRES Os..AWARE SoiL &WATER CONSERVATION DisTRICT APPROVAL- (740) 368-1921
-
r::t: o FOU~TION SURVEY REauiRED- MUST BE SUBMITTED TO OUR OFFICE PRIOR TO FRAMING.
W
THIS ISA
o BuilDING /PRoPERTY MUST BE IOENJlFIEDWITH STREET NUMBERS PER~ 1802.
W
APPliCATION
FEE(S).
u
WDATE~
l:t: 9:5~
11.. o COMMERciAL OR BUSINESS USE PRoHIBITED, 1H ACCORDANCE WITH SecTION 1708(F).
o HUMAN OCCUPANCY PRoHIBITED, IN ACCORDANCE WITH Seen~ 1609.01(G).
C)
~
o ACERTIFICATE OF ZONING COMPUANCE (COC) IS REQUIRED PRIOR1 : : :THE STRUCTURE.
o
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IF CONSTRUCTION DOES NOT BEGIN WITHIN SIX (6) MONTHS OF THE ISSUANCE DATE THIS P£RMIT,
THIS PERMIT IS NO LONGER VAUO. CHANGes PLANS MAY REQU
REVISED PERMIT.
OlH£RwJSE, THIS PERMIT IS VAW Fa{
(12) Ml.ll'lll-...-
~~ ------~~~~~~~~~~~~~---
.AooPTED: 06126111
fl.-991.10
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FAX NO.
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:
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Ccn=.x:lion r&:t C614~ ~9545
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TMIS ?RCPiRTV 1S .OCATE! IN
FLOoo'z.oNE _ _ _ _ _. ,:;:X_ _ _ __
COMMVNiiY PANa. --~S::.:~~~·C:.-_ __
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