Application For Building Permit Form - City Of Walker Page 3

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ZONING: Site Plan: (Please read carefully and complete)
Using the space provided, or on a separate sheet of paper, draw a diagram showing all of the following items
1. The dimensions of the lot or acreage(all sides).
5. The location of all roads bordering or on the property.
2. The location, with distances to lot lines, of all existing and
6. The location of any power and gas lines on the property.
proposed structures.
7. The location of any lakes, rivers, streams or wetlands on
3. The dimensions of all existing and proposed structures.
Or near the property.
4. The distances between all existing structures.
8. The location of any easements on the property.
10.) SITE OR PLOT PLAN - FOR APPLICANT USE
(Attach additional sheet if necessary)
Indicate direction of North on site plan
11.) Permanent Parcel #: _____________________________________________
12.) BUILDING SETBACKS (Front setback, as measured in feet, from the road right of way.)
FRONT: ________________SIDE: ________________SIDE:__________________REAR:_____________________
I AGREE TO COMPLY WITH THE TERMS AND REQUIREMENTS OF LOCAL ORDINANCES REGARDING
SIDE YARDS AND BUILDING SETBACKS. IT IS ALSO UNDERSTOOD THAT ALL STRUCTURAL,
ELECTRICAL, HEATING, SHALL BE INSTALLED TO BOTH STATE AND LOCAL REQUIRMENTS
AND MUST HAVE FINAL BUILDING AND ELECTRICAL INSPECTIONS OBTAINED AND APPROVED PRIOR TO
OPERATION AND OR USE OF POOL.
SIGNATURE OF APPLICANT:_____________________________________ DATE:_________________________
APPLICATION REVIEWED BY: ___________________________________ DATE:_________________________
APPROVED
DENIED

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