HomeMy WebLinkAboutSW050189_Application QuestionnaireBg Permit/Mn Ole- `-
Swimilling PooUSpa
APPLICATION TION Qt;RST10hfNAfRE .
(To he co rrip] ood by ap p] lcz nt
yin gle.-famll dwelling fie. ! o
I�j ]s tf�e Pnnllpa for � • • b �' � .
(2) Do you have aTi a[-'Vr'0ve-d (}i-ar►ge Counter Standard flans,
Indicate No - ' Cs -��'
(3) Do you have an a-pprnved Er'o: ion and Sediment c0TA101 Yes f
plan approved by BuiIdtllg Permit . e,Lvices?
r
(4) £ace yoij have as approved fife ant forn3?-----------_-__-----�.. !'l No
5 Does the p,TVect site have an active Grading PeAl"it ? �f N
( fs the project. located in a f loodplain ?
7 is the prqje t sire served by a septic sysicm? Yes Nu r
Appiicant shallWnolc� on plans (}tiat a MiniMLPUt Of 5' high non-cii mb a bl c fence iE5
provided in comp Iiaiico with chnpux 31B, Divisin n H, of 11ic CBC 2001 Wition
if you answer YES to the questions 1-4, ru)d Nth to guc.stions 5-7, thi'in you M ay Obtarri a
over-thercaun#er p Snit, if not, you must �ubjnit your plary� for plan r.)peck- with a P]an
cher-k foe deposit (recfjmmendexi. $3U0-40 deposit). Plea r day the czrstxier.
Declaration.
i d e3ar{: that the f s'et uix)_, is true and correct w the hest of my knowl�cl Q 1 understated
that incorrect arisw4cc
.e wiII cause delay to irisptjon appfoval and issiaarice of a sEop wr�rk
ni-A r.
Site Ad&Qss
S 1r`1�LL'L