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HomeMy WebLinkAbout028-450-010LAND DEVELOPMENT PERMIT CLEARANCE oas-450- of o ❑ APPROVED Iff CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR T APPROVAL PERMIT CLEARANCE Permit #: 'Z—)(, �f Genera/Information Q -1 --KI AP#:_/V�/� )— Parcel Acreage: `/ D _ A L d- 2 - " Owners Name: _ Czc Iq e Tei i7 arT IJ �G �S Owners Address: Building Site Address: Bmeeriylnformat/on Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic Akwell ❑ Other Zone District: General Plan: Use Permit: Parcel Is In: f-1— Zoning Code Street & Highways T Date of Zoning Ordinance: Subdivision Ma Front f'1 6� Development Agreement: 3 C) Side street—� Variance: Rear Land Conservation Agreement A No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan J3 No ❑ Yes Violation Area 13 No ❑ Yes Specific Plan jj No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone N No ❑ Yes, check use Floodplain j'No ❑ Yes Zone: Panel Number:) V 2- Watershed Protection Zone No ❑ Yes Proposed Use Complies With: General Plan 2 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Accessory Building Use Zoning Code Street & Highways T Fre Prevention Subdivision Ma Front Side 3 C) Side street—� Rear 13 C5 Height Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review Parcel Created by: ❑ Deeds Date of Creation: Deed Reference: Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road Complies with County Standards for Deed Creation: Comments: Legal Access Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes N Map [^ Date of Recording: 1 Lot: l �� Block: Conditions That Must be Met Prior to Issuance of Permit: a❑ verify Legal Parcel ❑ verify Legal Access �( ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ No ❑ Yes ❑ No ❑ Yes P- M Book: 114 8 ❑ Provide Creation Deed 3� 37 Page: ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other General Comments: ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. �Z.. T FAN bea -�7UK) �D •i;:- S - 3-C-- l_oc-pT-e�b W iT N 1..N 100 0-0 S��N F" D ISP(3 -L. L'6 ACJJ-Q( Gtr , SEG M P�-P -POIZ bGSf 6-K)N—r `b LID e it EA)T `_Z0 't3(L f'c- C-1 -V-) A -F L�}�.S 1 Z �2✓� l.r\�y �� �`GG�'� 112, i\ T !