21-104890-ADU Applications-11-21-2021-V1ADU SITE PLAN DRAWINGS (Provide the following; refer to page 3 for an example.)
C Scale/north arrow ❑ Street/driveway location
C Lot dimensions - Primary dwelling unit
E ADU footprint (if detached) - Building setbacks from property line
Location of utilities & easements -1 Show location of three on -site parking stalls
:1 Locate the entrance of the primary dwelling unit and the ADU
11 Calculate the total impervious surfaces coverage for the site (Include the existing and proposed roof area,
driveway, patios. and walkways.)
C Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is trite and
correct to the best of my knowledge and further, that I am authorized by the owner of the above
premises to perform the work for which the permit application is made.
Signature p ' ant Date
WAIVER: Approval of the ADU Land Use Application does not constitute approval of the building permit.
Application and approval of the building permit is a separate process.
OFFICE USE ONLY
ADU Status: :] Legal Nonconforming per FWRC 19.30.140 ] New ADU
E Assigned Address of ADU
51 Deed Restriction/Letter of Application Rec'd ❑ Recording Number
❑ Other
Approved by
❑ Conditions of Approval
Date
Bulletin #049 - December 21. 2015 Page 2 of 3 k:lHandoutslADU Application