234 OCEAN BLVD - DRIVEWAY s ?T�`L'y f76
,� Y�+r`1, CITY OF ATLANTIC BEACH
A j 800 SEMINOLE ROAD
j ;: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J.1119�
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-1133
Job Type: DRIVEWAY
Description: patio driveway-pavers
Estimated Value:
Issue Date: 8/12/2015
Expiration Date: 2/8/2016
PROPERTY ADDRESS:
Address: 234 OCEAN BLVD
RE Number: LOC ID-0000
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control
Inspection prior to start of construction.
All silt must remain on-site during construction.
If on-site storage is required, a post construction topographic survey documenting proper
construction will be required.
Roll off Container Company must be on City approved list and container cannot be placed on
City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and
Waste Pro.)
Full right-of-way restoration, including sod, is required.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with
P.I \1 I 1. APPROVED ONIA IN ACCORDANCE WITH A d. (Try oF ATLANTIC BEACH O KILN\ N 'ES AND 711E FLORIDA
h3 ml Tcic erete box with metal lid. Cleanout to be set to grade and visit e.
r 1. r,1`r °�' CITY OF ATLANTIC BEACH
�ts,
-w. 800 SEMINOLE ROAD
-)11/,, ____"-y ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
AJJSI)f'
•
FEES:
Fence/ROW $35.00
Total Payments: $35.00
•
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Permit Attachment of for
Permit# issued ,20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and
hereinafter referred to as"USER". of Atlantic Beach; Florida,
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to
enter upon the property of the City of Atlantic Beach for the
Beach Right-of-Way/Easement permit numbers noted above(copies pose
ttached) cnbed in the City of Atlantic
This work is generally described as: A la
-
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege
subject to relocation or removal on p g granted remains
thirty(30)days notice by CITY to the USER, said notice to USER shall be
given by certified mail, reMm receipt requested, to the following address:
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to
enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining,repairing, operating,replacing, or
adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,
Land Development Code,and all other land use and code requirements of the CITY,including
City Code Section 19-7(h)which states"Driveways that cross sidewalks: City sidewalks may not be replaced
with other materials, but must be replaced with smooth concrete left natural in color so that it matches the •
existing and adjoining sidewalks."
Page l of 2
•
The USER, prior to making any changes from the approved plans and/or method, must
approval from the City of Atlantic Beach,Public Works De obtain written
discretion of the CITY, be requested to submit as-built drawings ho said lthe change LA USER shall,at the •
after the day of completion. thirty(30) days
This permit shall insure to the benefit of, and be binding upon; the USER and their respective s
assigns.
p successors and
USER shall meet the terms and conditions of this permit and to all of the applicable State
and/or specifications, to include utilities locate requiements and use and CITY laws
rights-of-way and other public land. USER further agrees limitations/requirements of public
be saved harmless by the USER from any of the work herein under the terms and f this permit that all employees shad
liabilities are hereby assumed by the USER. that all of said
DATED and SIGNED this J day of 7A
A13y _ I'
4•-v a. c..t.c �M� �
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of
and for said County 20 appeared before me, a Notary Public in
tY and State,
the property owner of
Atlantic Beach,Florida,known to me to be the person(s)described in
and 'o ex- uted the foregoing instrument; who acknowledged to me that he or she executed the
• vol and for the - same freely
�,. Purposes therein mentioned.
L,
Notary Public fo =o��yr Notary Public State of Florida
said Co ulty: d State Shirley L Graham
c� �� My Commission FF 086990
CITY OF ATLANTIC BEACH, FLORIDA, a 14°;094's Expires 02/14/2018
municipal corporation:
App pv :
f.
Doug La • ,,Public Works Direct,
For Permits where city sidewalk is impacted,
City Manager approval required:
ffi
Nelson Van Liere,City Manager
I
Page 2 of 2
I
,'-;' , /I' F' ,, Comp. By:
4 SRW
liar z Date: 5/15/2015
0,3}>r
Public Works Department
City of Atlantic Beach
Permit No: 15-Dway-1133
Address: 235 Ocean
Required Storage Volume
Criteria:
Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations
requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be
stored on site. Volume of Runoff is defined as follows:
V= CAR/12
Where: V=Volume of Runoff
C =Coefficient of Runoff
A=Area of lot in square feet
R=25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach)
Predevelopment Runoff Volume:
Lot Area(A) = 5,615 ft2
Runoff Coefficient
Area Lot Area
Description (ft2) (ft2) "C" Wtd "C"
Impervious 2,768 5,615 1.00 0.49
Pervious 2,847 5,615 0.20 0.10
Runoff Coefficient(C)= 0.59
Runoff Volume
V= 0.59 x 5,615 x 9.3 / 12
V= 2,586 ft3
Postdevelopment Runoff Volume:
Lot Area (A) = 5,615 ft2
Runoff Coefficient
Area Lot Area
Description (ft2) (ft2) "C" Wtd "C"
Impervious 2,725 5,615 1.00 0.49 %I SA = 48.5%
Pervious 2,890 5,615 0.20 0.10
Runoff Coefficient(C)= 0.59
Runoff Volume
V= 0.59 x 5,615 x 9.3 / 12
V= 2,560 ft3
Required Storage Volume
DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume
DV= 2,560 - 2,586
DV= -27 ft3
Retention 1639 Sea Oats Drive 15-Radd-1053 5/15/2015
rites''' •, .
0•1. ': Comp. By: SRW
,mow 4, Date: 5/15/2015
Public Works Department
City of Atlantic Beach
Permit No: 15-Dway-1133
Address: 235 Ocean
Provided Storage:
Elevation Area Storage
(ft) (ft2) (ft3)
0 BOTTOM
0 TOB
Elevation Area Storage
(ft) (ft) (ft)
0 BOTTOM
0 TOB
Elevation Area Storage
(ft) (ft2) (ft3)
0 BOTTOM
0 TOB
Inground storage=A*d*pf
A=Area= 0.0
d=depth to ESHWT= 4.0
pf= pore factor= 0.3
Inground Storage= 0.0 ft3
Required Treatment Volume= -27 ft3
Supplied Treatment Volume= 0 ft3
Retention 1639 Sea Oats Drive 15-Radd-1053 5/15/2015
234 Ocean Existing Footprint
Width Length Area
LOT 50 112.3 5,615.0
House 21 67.4 1,415.4
House 14.4 32.7 470.9
House 7.2 6.7 48.2
Drive 15.9 24.8 394.3
Front Deck 14 34.7 485.8
Rear Deck- (Removed) -8 17.4 (139.2)
Walk 3 31 93.0
Total 2,768.4
49.3%
With
Proposed Footprint Pervious
Credit
House 21 67.4 1,415.4 1,415.4
House 14.4 32.7 470.9 470.9
House 7.2 6.7 48.2 48.2
Drive (Paver) 15.9 24.8 394.3 197.16
Parking (Paver) 16 10 240.0 120.00
Parking 2 (Paver) 16 6 144.0 72.00
Front Deck (Wood) 14 20 280.0 140.00
Front Deck (Paver) 14 14.7 205.8 102.90
Rear Deck (Paver)** 15 18 270.0 270.00
Rr. Deck- (Removed) -8 17.4 (139.2) (139.2)
Front Walk- (Removed) -3 12 (36.0) (36.00)
Hot Tub 8 8 64.0 64.0
Total 3,357.4 2,725.4
Percentage of Lot 59.8% 48.5%
Pervious Credit 50%
** Not Permeable
(4i, 41(j/1/-
234GOslo'
Atlantic Beach, FL 32233
Scope of Work:
1. Remove existing cracked and broken driveway.
2. Remove existing impermeable concrete deck inside privacy fence.
3. Install new expanded driveway and parking area using permeable pavers.
4. Install new permeable paver deck inside privacy fence at front of house.
5. Install new non-permeable paver deck inside privacy fence at rear of house.
Norman Gauslow Da. e
CITY OF ATLANTIC BEACH
WNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICI-I IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
AD 23 6t� I✓ 6G Vb • _ 6/3 693--2-7/7
PHONE NUMBER
o ,,i 6 e U51-0 Li)PRINT NAM /
S zoi S
�Z .-
SIGNATURE .� ,/ DATE `
Before me this I 2- day of {�4 M/ 20 IS-in the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate. 800 x4., Notary Public State of Florida
I , Teresa R MacDonald
Notary Public at Large,State of FUN-WA,County of I4lU 60tw y p My Commission EE115391
/
, ersonally Known Ot��� Expires 07/25/2015
❑Produced Identification-
Notary naTure: � � -..
F:BLDG'Owner-Builder Affadavit;REVISED:4/16/2009
Property Appraiser- Property Details Page 1 of 2
GAUSLOW NORMAN D w Primary Site Address Official Record Book/Page Tile#
234 OCEAN BLVD 234 2ND ST 06041-00074 9416
ATLANTIC BEACH, FL 32233-5226 Atlantic Beach FL 32233
GAUSLOW ELANA A
234 2ND ST
Property Detail Value Summary
RE# 170197-0100 2014 Certified 2015 In Proaress-
Tax_Dict USD3 - Value Method CAMA CAMA
Property Use 0100 SINGLE FAMILY Total Building Value $86,486.00 $92,770.00
#of Buildings 1 Extra Feature Value $765.00 $694.00
Land Value(Market) $350,000.00 $350,000.00
Legal Desc.
16-2S-29E -- _
-
ATLANTIC BEACH Land Value(Aaric] $0.00 $0.00
--
Subdivision 03101 ATLANTIC BEACH Just(Market)Value $437,251.00 $443,464.00
.
Total Area 5583 Assessed Value $368,302.00 $405,132.00
. -
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $68,949.00/$0.00 $38,332.00/$0.00
to Save Our Home*and our Property Tax Estimator.'In Progress'property values, Exemptions $0.00 !See below
exemptions and other supporting information on this page are part of the working tax
roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $368,302.00 See below
certified in October,but may include any official changes made after certification
Learn how the Property Appraiser's Office values Property.
Taxable Values and Exemptions—In Progress 4-A
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
0
Sales History
T
Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved
06041-00074 11/5/1985 $100.00 WD-Warranty Deed Unqualified Improved
06145-00104 j 6/6/1986 $152,500.00 WD-Warranty Deed Unqualified Improved
07309-00034 4/2/1992 $100.00 QC-Quit Claim Unqualified Improved
Extra Features f.}
■
LN Feature ••e Feature Description Bldg. Length Width Total Units Value
1 FPPR7 • Fireplace Prefab 1 0 0 1.00 $694.00
Land&Legal #-.1
Land Legal
LN Cede Use Description Zoning Front Depth i Category Land Lind Land 1 LN Legal Description
Units MUM Value 1 16-2S-29E
1 0100 ACS LD 3-7 UNITS PER ARS-2 50.00 115.00 Common 1 1.00 Lot $350,000.00 2 ATLANTIC BEACH
1 3 LOT 2 BLK 29
Buildings 4*
Building 1
Budding 1 Site Address Element Code Detail —1 r-1
2342ND ST
Atlantic Beach FL 32233 Exterior Wall 12 12 Cedar/Redwood 1
. Roof Struct 3 3 Gable or Hip e� I a L_
Building Type i 0102-SFR 2 STORY Roofing Cover 3 3 Asph/Comp Sting L_ I A r
Year Built 1986 Interior Wall 5 5 Drywall L I
Building Value !$92,770.00 Int Flooring 11 11 Cer Clay Tile
Int Flooring 14 14 Carpet L._GJ
RI
Tvce Gross Heated Effective Heating Fuel 4 4 Electric
Area Area Area Heating Type 4 4 Forced-Ducted __
Finished upper 418 !418 397 Air Cond 3 3 Central
story 1
Unfinished
Garage 504 0 227 Element Code
•
Base Area 1208 1208 1208 Stories 2.000
Total 2130 1626 11832 Bedrooms 3.000
http://apps.coj.net/paojropertySearch/Basic/Detail.aspx?RE=1701970100 5/13/2015
,.074!J?:,,- .'o� CITY OF ATLANTIC BEACH
•
•„` CONSTRUCTION PERMIT WITHIN CITY
f����-� . .•-=. RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
sv%;lh `•- Atlantic Beach,Florida 32233-5445
904-247-5845
PLEASE SUBMIT COMPLETE SETS OF PLANS WITH APPLICATION. Fax 904-247-5845
Date !3 /c—
Job Address ����-� PERMIT#
ISSUED BY THE CITY
Permitee: PI. C a /L.)
Permittee Address: Telephone# a p/
Requesting Permission to Construct: i v 2.
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the loca
both aerial and underground and the accurate locations are shown on the ketches lion of all existing utilities,
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, Yes( ) No ( ) Date:
Whenever
or necessary for
all, or any p , improvement, maintenance, safe and efficient operation,
Works, any or all of said poles,wires,np pes,dcables°o easement otherfacilit es and determined appurtenances estor th rued
hereunder, shall be immediately removed from said street or easement or reset or.reloca
required by the Director of Public Works, and at the expense of the Permittee nle authorized
authorized. relocated hereon as
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation unless anda ds and e
performed under the supervision of •
Superintendent) located at p Standards and be
4. All materials and equipment shall be subject to inspection by the Director (Contractor's Project
5. Telephone#:
All city property shall be restored to its original condition as far as practical, in keeping Works cit designee.e t
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy city specifications
part of this permit. Calculations showin• an increase in im.ervious area on ow
Right of Way are to be included with this a lication. py °f a recent survey shall be made a
7. This permittee shall commence actual construction in good faith with owner's lot or in the cit
more than 60 days from date of permit approval, then permittee must review the permit with the Director__• days. If the beginning date is of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8• It is understood and agreed that the rights and privileges herein set out are granted only to e
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic B the extent of the
r will, at all
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges. each from and
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting
immediately upon completion.
g work and again
OWNER
Date:I /
g° IS? i ne•. !�. ..Before •-thi
day of
St. �•f Flor'.a,has p r ipeered —in th- - •
•
'• - Pub' of Lars ,pers.s lirk lorida,County of Duval. ry Public State of Florida
N. ••m n exp'es: Shlrlea�y L Graham•
•, eti0 /14/fI�FfCQB®N90
0'F = ntidap(r � /14/2tl18
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Cit of Atlantic Beach
ya'-"i' j1,: y APPLICATION NUMBER
i�1 Building Department RI ' PPTED1 (To be assi n by the Building Department.)
i" `� 800 Seminole Road � ']��,��
�� }�'� Atlantic Beach, Florida 32233 5445 MAY 1 Z(111� 1/33
?� / Phone ����
hone(904)247 5826 Fax(904)2
i 6–;t�� ' E-mail: building-dept@coab.us BY Date routed:
City web-site: http://www.coab.us .—__.
APPLICATION REVIEW AND TRACKING FORM
Property Address: C)3 1/ O2 L Department review required Yes No
Applican • 6 ti)-)-1 E.4, — (---. Planning &Zonin
✓' Tree dministrator
Project: AV� I � 7fto ublic Worl
u c Utilities
Y •
i 14 fiJ 7 Public Safety
/ Fire Services
Review fee $ 2 S— Dept Signature `)<t•"---
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants -
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION ST ATUS _
Reviewing Department First Review: Picpproved. ❑Denied.
(Circle one.) Comments:
BUILDING r
PLANNING&ZONING Reviewed by:5 ,- c-------- ✓51
Date: "!'l
TREE ADMIN. Second Review:
['Approved as revised. ❑Denied.
•41 1VC►WOR a mments:
:LIC UTILITIES
IC'
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,s ,. City of Atlantic Beach
Building Department RECEjVEjj_ APPLICATION NUMBER
(To be assi n by the Building Department)
800 Seminole Road
-- } Atlantic Beach, Florida 32233-5445 MAY 1 4 2015 /6 .4
Phone(904)247-5826 • Fax(904)2 7-5845 33
1.Olil',: E-mail: building-dept @coab.us BY:.---web-site: http://www coab.us �---- ___1 Date routed
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 d O C C nil _ Department review required IMMI No
Applicant• _ U W -1`-. . Planning &Zonin
Tree a dm" �-
Pro'ect: V� ,/' m�strator MI
Project: r s j�, d �blic Wor _ i
2?y I V vt) i3 Public Safety _-
Fire Services
Review fee $. _ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District MIIIIIIIIIIIIIMMIMMI
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved.
(Circle one.) Comments:
Denied.
BUILDING �EE , ,f�r4� w��1
1
PLANNING&ZONING
Reviewed by: _KV,..m..m �_
TREE ADMIN. Date:�i
Second Review: Approved as revised. II Denie
PUBLIC WORKS Comments: lc e ` Cow4v4t
PUBLIC UTILITIES a/7 /J
PUBLIC SAFETY Reviewed by: J/ -m _—
--- - Date:
FIRE SERVICES Third Review:
['Approved as revised. Denied.
Comments:
Reviewed by:
Date:
Revised 07/27/10
1