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Structure and Setbacks (As shown on site plan) <br />3. Total Square Footage (include both sides) <br />4. Setback from right-of-way <br />5. Setback from adjacent property lines <br />6. Setback from nearest intersection <br />7. Distance from any park, historical site, public picnic <br />or rest area, church, or school property <br />8. Distance from nearest advertising sign <br />9. Height (above average ground level at base of the sign) <br />576 (1152) <br />5 feet <br />5 feet <br />N/A <br />N/A <br />802 feet <br />20 feet <br />Note: In order to fully evaluate the proposed use, please supply a site plan map that shows all applicable <br />distances, setbacks, signs, buildings, r ads, etc. <br />Property Owner's Signature Date CI /24(7 <br />Applicant's Signature <br />Signature of this application authorizes Env mental Services Staff to enter upon the property to perform needed inspections. <br />Entry may be without prior notice <br />Date 9113)3/4! r7 <br />WHAT HAPPENS NEXT? Staff will review your application and determine if the application is complete. <br />If the application is complete, the application will be scheduled for a Public Hearing with the County <br />Planning Commission who will recommend action to the County Board of Commissioners. It typically <br />takes 2 months from the time a complete application is submitted until the County Board issues final <br />approval or denial of the CUP. <br />