Laserfiche WebLink
d�• � ' <br /> CHECR OFF LIST FOR ISSIIANCL OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I�EG�L DESCBIPTION: ���� �es � / -oi�1�► � ('f�'�-� - <br /> PID• <br /> DESQtIPTION OF WORR: ���(�- / 7 a� � ��D N�� - <br /> ------------------ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BQILDING REVIEW BY: .DATE APPROVED: <br /> pERMIT ISSIISD BY: DATE: <br /> ---------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No SEWER UNIT $ <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> PENALTY Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> OTHER (specify) <br /> --------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks : <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures: Wetland: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� ' <br /> Zoning File:# Resolution #: Resolution Date: <br /> R.E1rlARRS (in house) : <br /> 6 -- -�-- -- ..-- ------- __._ _.----- <br /> - - - -----__... <br />