Form 700 - Village District Residential Permit Application Page 2
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4Existing Easements: Is there an easement on the property?
Yes (describe in box below)
No
Don’t know
Are there any existing structures located in easement?
Yes (describe in box below)
No
Don’t know
Are there any existing structures located on/over the property line?
Yes (describe in box below)
No
Don’t know
Is the property connected to utilities
Yes (describe in box below)
No
Don’t know
(e.g., gas, electric, water, sewer)?
Is there adequate drainage for the property?
Yes
No
Don’t know
Is there adequate off-street parking space?
Yes
No
Don’t know
Is there clear access for fire/emergency/ police vehicles?
Yes
No
Don’t know
PART 3 - DESCRIPTION OF PROPOSED DEVELOPMENTS & USES
Types of Activities (check each box that applies; more than one may be checked):
Construct Single Residential Dwelling
Construct Duplex (Two Units)
Construct Multi-Unit Dwelling
Relocate Existing Building or Structure
Relocate Utilities
Construct Garage
Divide Home/Add New Dwelling Unit
Construct Storage Structures
Construct Addition to Building
Gravel Fill, Construct Driveway or Parking Area
Other Land Excavation Activities
Other: ____________________________________________________________________________________________________
If constructing building/structure: Square Footage: _______________ Height: _________________ Number stories: ________________
If relocating building/structure, indicate current location: ________________________________________________________________
Project Description (Describe the scope and purpose of the project in the box below)
□ Check this box if additional description/information attached to application.
North Slope Borough
Form 700 Village District Residential Permit Application
Department of Planning and Community Services
January 2015 (Rev.0)
Land Management Regulation Division
Page 2 of 4
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