Laserfiche WebLink
0 <br />LAKE COUNTY BUILDING PERMIT APPLICATION <br />APPLICANT <br />Name: LG. 6t1i2..C-: MIVI ld � MAC106_6X40 <br />Mail Address: <br />city: �.t.�1dc�,L6E 0" <br />Tel. No.. <br />CONTRACTOR <br />Name:6.01(,Wre t5L49WaJ 61LISCO-1-- <br />Address: <br />City: <br />Tel. No.: <br />ARCHITECT ENGINEER <br />Name: <br />Address: <br />City: <br />State License Nor: <br />Te1. No.: <br />TYPE <br />OF BUILDING <br />DA,ell Corns <br />Indust�C <br />Brick Block <br />,Other <br />Frame Other 5 <br />No.StoriesL__L �No.Units 1 No. Roars Z, <br />LEGAL <br />DESCRIPTION <br />Sec. _20 TS. 9 so. R. '7y uj65 <br />Subdivision - <br />Unit Block Lot <br />Lot Size, Width Depth Area <br />Water Service By <br />Approved Septic Permit _ <br />Job location address,;�9/ / <br />IF MIT FOR MOBIIF.MIE — ADDRESS rK, CURRMT <br />LOCATION <br />SE'G: u"i -c4r S.4 <br />PLANNING AND ZONING INFORMATION <br />Type of occupancy:_ / dt1Dds7-ff4A <br />Total floor area I L C L S4 /- <br />Bsmt. Area Sq. Ft. &aej s <br />Ground Floor Area Sq. Ft. ! 1 L s Gt l= r.tl?G��f <br />Second Floor Area Sq. Ft. -- <br />Garage Area Sq. Ft. .G <br />Other <br />Total Height: s•' V " <br />Front Yard Setback: <br />Side Yard Setback: <br />Rear Yard Setback: <br />PERMIT # <br />� R <br />DO NOT WRITE IN THIS SPACE <br />Zoning <br />Approved <br />Disapproved <br />Violation of Article <br />Plan Approved <br />Disapproved <br />Correction <br />Responsible <br />Engineer <br />Contractor <br />Owner <br />Building Costs $� <br />Building Permit Fee $ <br />L=UNTY ILDI NG ­ 8PECTOR <br />Date of Approval <br />