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APPLICATOIN
FOR BUILDING PERMIT |
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BARODA TOWNSHIP, BERRIEN
COUNTY, MICHIGAN |
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Tax Code |
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| Owner |
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| Address |
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| Address of
new or moved building |
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| Type of
Building |
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Alteration |
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Addition |
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| Cost of Project |
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$ |
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No. Rooms |
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No. Baths:
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Full |
Half |
| Proposed
Building Size |
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X |
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Height |
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No. Stories |
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| Basement:
____________________ |
____ Size |
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X |
No. Fireplaces |
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| Exterior Fin. |
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Type of Heat |
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No. Chimneys |
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| Water Supply: |
Twp. |
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Well |
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Depth |
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| Sewerage System: |
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Septic |
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Other (Explain) |
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| Size |
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Tile Field |
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Sq. Ft. |
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| Distance from well to: |
Septic Tank |
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Sewer Pipe |
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| Septic Tank
Capacity |
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No. Bedrooms |
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| Lot Dimensions: |
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X |
Set Back: |
Front |
Sides |
Rear |
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| Contractor's
State I.D.# |
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| General
Contractor |
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Address |
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| Plumbing
Contractor |
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Address |
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| Heating
Contractor |
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Address |
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| Electrical
Contractor |
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Address |
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| In
Consideration of the granting of this certificate of approval, I/we certify
that I/we shall comply with |
| provisions
of the Zoning Ordinances and with all other applicable ordinances of the
Township of Baroda, |
| Berien
County, Michigan and the Township of Baroda shall not be liable for any
damages resulting |
| therefrom. |
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| Signature of
Owner(s) or Agent |
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| Approval Date |
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This permit expires in one year. |
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| By |
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Building Inspector |
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| Attach
print or pen sketch (2) to scale showing: Lot dimensions, present and
proposed Building, Well, |
| Sewerage
System, and profile of the Exterior Footings and Walls shown in marginal
drawing. |
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