HomeMy WebLinkAboutSite Plan Review Request - 1987 Oct 16 10/3/85
TABLE 2
SITE PLAN REVIEW REQUEST AND
P OJECT DESCRIPTION FORM
SUBMISSION DATE /L / ) REVIEW DATE] c/ 7 TIME c..577/ /2�
ASSESSOR'S MAP NO. t '
LOCATION OF PROJECT:
NAME OF BUSINESS/PROJECT: Fjyr✓Ma/L.
APPLICANT NAME: j`:7-- ,41re
APPLICANT ADDRESS/PHONE NO. : 49.. Z i3 _a z Z
OWNER NAME (if not applicant) :
OWNER ENGINEER/SURVEYOR:U SS/PHONE NO. : M g 41-4
G
DEED BOOK/PAGE: / PLAN BOOK/PAGE: /
DESCRIPTION OF PROJECT (provide as much information as
possible, attach additional pages if necessary) :
•
77
Note: Please see Table 5, Site Plan Review Checklist, for
the type of information usually required on a site plan.
C ZONING DISTRICT: -fL. FLOOD ZONE:
BUILDING SIZE (square feet) - attach floor plan(s) for
assembly/mercantile/retail uses
BASEMENT: —
FIRST FLOOR: 41-" 5
SECOND FLOOR:
MAXIMUM NUMBER OF EMPLOYEES: L� •
DO YOU USE/HANDLE/STORE OILS OR HAZARDOUS MATERIALS? i;)Q •
IF SO, ATTACH LIST OF THEM BY NAME, QUANTITIES, AND
PROPOSED METHODS OF STORAGE/HANDLING/DISPOSAL/ETC.
BOARD OF APPEALS ACTION EXPECTED:
�
SIGNED � � �
respectfully submitted
Submit 6 copies of this completed form and 6 copies of the
site plan to the Building Department in order to get your
project on the Site Plan Review agenda.