Laserfiche WebLink
� <br /> • CHECK OFF LIST FOR ISSUAI�iCE OF PERII�T'S <br /> FOR OFFIC�,USE ONLY <br /> �1DDRESS OR LEGAI.: / 3�� I���,� ��K� �'��� <br /> PID: <br /> DESCRIPTION OF WORK r ,r � � Z k ._�'�'�'�`�2 �`J"� <br /> , <br /> ------------- -------- <br /> ZOi�tING REVIEW BY: DATE APPROVID: �/ p <br /> BUIIIDING REVIE`� BY: DATE APPROVED: � t i_i3-5s <br /> - --------------------- <br /> FEES TO BE CHARGED: 1�1isc. Fees Calculated By: <br /> PERI�IIT Yes '� NO <br /> PLAN REVIEW Yes �' No SEWER CONivECI'ION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of SAC Units OTHER (specify) �Y N � <br /> --------------------------- <br /> Z0��1G CHECK LIST Zoning District: _ Shor d District:>,. <br /> Fire Department: _ Post Office: School ist ct: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitt . Yes No Date of Survey. <br /> Proposed Setbac : <br /> Front ( e): Right Side: <br /> Rear (S eet): Left ide: <br /> Adjace Structures Wetl d: <br /> Building Height Def. Hgt. Peak H°t• <br /> Avg. Setback: Bluff Setba : Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 - <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover V ance Required: Yes � o D te of Council Approval: <br /> Grading: St Approval Date: By: Council Approval Date: <br /> Septic: Staff pproval Date: By <br /> Zoning File: _— <br /> Resolutio # Resolution Date: <br /> g;���[�R��S (in house): <br />