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2199 CALUMET ST
APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER PUBLIC WORKS DEPARTMENT ENVIRONMENTAL MANAGEMENT DATE (813) 462 -6747 RECEIPT NO. A non - refundable filing fee of $10.00 is required per Resolution 86 -9. Permit applicable for 6 months from date of approval. In accordance with Section 98.30, 1 hereby apply for permit to land clear and /or grub the property described below. 1. Location of Property / Ill k1 i, f %e , P y J' 2. Project Name l�f�' /�d 3. Purpose of clearing and /or grubbing 4.1J 4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed ditches, canals, and swales) d/?11.l11 5. Proposed method of debris disposal Aowj L) 6. Date you plan to begin work 7. Proposed method of soil erosion control 8. /No -Tree Verification Required ❑ Tree Removal Permit Required I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING TREE PROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY l�i�u >> . /�i Subscribed and Sworn before me Signature of Owner- or- Ownets,Aepresentative } (� this ' ,f ` day of E ( 19 Printed Name �� Q; •� ,_� �p / �1' �t�✓ /� ^� 71 /J JYL ^ Signat�re Hof• *ary Address l ' 1 NAME OF NOTARY A & City! State Zip COUNTY ATE F kbRTDA. COMMISSION E :,ts�s n�rird ,9ns_ Representatives' Firm Telephone BONDIif THRU4,i 07ANY PUBLJC 6MRWR1TSR& Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT a Tree Removal Permit. D ©-,NOT ;WFkITE, B,�`LOW T�HIShiNE tp Comments a' Water Resource Spec. Date - Urban Forester -.�, Based on the above comments and information submitted, the above removal application is: ❑ Approved As Submitted Approved — Modified As Noted Above / II— /�, -_ Signed: / Date: City Manager,.or Degignee r White — Applicant Yellow — Environmental Pink — Inspector ❑ Denied t' Rev. 9/87 1 ° ' Co ments I t / )"A, , rj{ . °f i' Comments a' Water Resource Spec. Date - Urban Forester -.�, Based on the above comments and information submitted, the above removal application is: ❑ Approved As Submitted Approved — Modified As Noted Above / II— /�, -_ Signed: / Date: City Manager,.or Degignee r White — Applicant Yellow — Environmental Pink — Inspector ❑ Denied t' Rev. 9/87 ENVIRONMENTAL MANAGEMENT Inspection Request 462 -6747 Date / � 11,3 9- LOCATION� PERMIT��D 01106 97 Contact Person �� S- S ekll / Phone l 7/ 5� �10a Yl-andscape C/O ❑. City Action Orders El Pinellas Co. Plans Attached ❑ Replant C/O ❑ Parks & Recreation ❑ Citizen Complaint ❑ Permit /Plan attached Hazardous Trees ❑ Consultant ❑ Other Request Approved 3/90 � 1,c Denied Si g n Itu re Date, D 3 I i it ENVIRONMENTAL MANAGEMENT Inspection Request . 462 -6747 /� _ Date LOCATION / A)Od PERMIT 36G 6 �� Contact Pers G ,L4/� 1-1 � �o e Z-/ Phone ❑ Landscape C/O ❑ City Action Orders ❑ Pinellas Co. f Plans Attached :. ❑ Replant C/O ❑ Parks & Recreation ❑ Citizen Complaint ❑ Permit /Plan attached ❑ Hazardous Trees ❑ Consultant F i ❑ Other i Request . i i' �. Inspectors Comments , , acres gyres Net Area (Gross minus BY Max. for Rears vehicular accesswaye)i Z 8 LOT W7DTH% ,.EX, SAN. MN, LOT DEPM TOP EL. : 51. 56 201 so, NV, EL :48 I5(N) NV. EL"'61 IS) DENSITY (Based an net acres )t HEIGHT BUILDING COVERAGE (Sq.Ft. and I of Gross Site); 100 GROSS FLOOR AREA and F,A.R.i M FH• SETBACKS (Also include dimensions site drawing); 380 380 on plan PAVED VEHICULAR AREAS (Sq. Ft. and Fronts Sides Rears 8568 s.F. Between Structures WATERFRONTi Sides acres gyres j3 Uj 01) 4. Rears Z 8 l U k 04 (P 201 so, HEIGHT 208 208 100 With Bonus Provisions(if applicable)s 380 380 100 PAVED VEHICULAR AREAS (Sq. Ft. and 2 of site): 8568 s.F. 450 s.f,( total) OPEN SPACE Total for the Lot (Sq.Ft. and 0 695652. s F 60% 1 of site)i 57934 s.F. 3Z313 s.F, 10% T 76 --/ 97,95/ 59.4% 0 009 60' For the Front Yard (Sq.Ft. and I of required front yard): 4825 s.F. 452S s . f 25✓ 92.8% 87.0% Clear Spacq (Waterfront Prop! c. v)t - - 235' 20, Exterior Perimeter Buffers Parking Lot Interior Landscaping (Sq.Ft. and I of Paved Vehicular areas; also, depict on site plan drawing by shadingicross hatching) s Nal A 32 13% J PARKING (Give applicable formula Ul 1A V® j3 Uj 01) 4. -Z Z 8 l U k 04 (P !S 5 --EX. SAN. H. TOP EL.! 50.64 INV, EL. : 34 -3i(was) M P—\M WV F-L— -ro XCC-P-PT DA, PROVIDF— 10910G� 640. pipe W� E-L� 34- 37t r7l SAN. CONNECTIOr.' DITCH ,REVISED: .a