Laserfiche WebLink
- ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZI F3U P�SiPC�-� PID' <br /> D$SCRIPTION OF WORR: NE W t,0 EL.k <br /> --------------------------------------------------- <br /> ZONING REVIEW BY: � DATS APPROVSD: C1 - Z.Z--SZ <br /> BIIILDING REVIEW BY: DATS APPROVF,D t �f- Z Z- �► Z <br /> ----------------- <br /> �S Z.p gg Cgp�gGgp: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No � <br /> PLAN REVIEW Yes ✓� No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No-� PARR FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST Zoning District `cQ•16 <br /> Fire Department: L•L. Post Office: Cti �- School District: /'���- <br /> Lot Area: ��L Width: /✓�C. Depth: <br /> Survey Submitted: Yes DC No Date of Survey:,�jn� �Ic.�� 6- Z�-5� <br /> Proposed Setbacks: <br /> Front (�e) : I'V�n Right Side: � S � <br /> Rear (S#.�eet) : S�� Left Side: y/� <br /> Adjacent Structures: A'1TJ�C�FC� Wetland: /V�i¢ <br /> Bui].ding Height: Def . Hgt. �/�A Peak Hgt. <br /> Avg. Setback: o Coverag : <br /> Exis ng Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Requir d: Yes No Date of Council Approval: <br /> Grading: Staf f pproval at : B : Co�Ancil ApprovaJ. Date: <br /> � <br /> Septic: Staff�pprova� D t : BY= <br /> Zoning Fil.e•� eso tion #: , Resol.ution Date: <br /> . <br /> REMARKS (in��house) : . <br /> r <br /> ; <br /> � <br /> , <br />