Laserfiche WebLink
, . ,�, <br /> �CHECIK Ok'F �IST FOR ISSUANCE OF �E�'�'1TTS <br /> FOR OFFICE USE ONL�'� � . „� � <br /> p�ADT:�ESS ORLEGAL: ° �� j` f ���� , . ; . �,l � , � : � : <br /> PID� <br /> J�E5CRIPTI�N OF WORK: � ---------------------------- <br /> _ _ _�--- ---- --____�__------------- DATE APPROYED: <br /> ZO`�i tG REVIEtiV BY: , DA.TE APPROVED; �t - � o - 0�7 . <br /> �UIL,DIN'G REYIE�Y SY�^ _____ �-=-----------------------=------------------------------- <br /> Misc. Fees Calculated By: <br /> �'EES TO BE C�TAI�GED: .YeS ✓ No — <br /> PERMIT �' Yes--� No SE�VER COi�iNECTION _ <br /> PLAN REVIEtiV - WATER,CONNECTION <br /> STATE SURCHARGE Yes ✓ No ✓ PAgl{ FEE <br /> INVESTIGATION FEE �'eS S�I'EINSPECTION <br /> SAC Yes N� � � <br /> OTHER (specify) <br /> Number of SAC�Units ---------------------------------- � <br /> -- ---� c�,cK Lxs� Zoaing Districc----1�---�� <br /> ZOY.NG <br /> � �1� Schoal District: �,/�� r`�1� <br /> Fire Dep3rtm.ent: � � ` Post OfFice: � <br /> '�j,�� Acres � � ��' Width <br /> �31� g � Depth 2�� 1 �t�'L <br /> Lot Area: Sq.ft. �__,_.___—. , <br /> Survey Submi[ted: Yes <br /> No Date of Sucvey: _ <br /> � �,� � . • <br /> Proposed Setbacks': ]�y ,E ���Side.���' �._.._. • <br /> Froa[(Lake): / <br /> , �' � , � , r �X S�l <br /> Lefc Side � �`��' <br /> Rear(Street): �� �� � <br /> ��— <br /> A3;a��nt St:�CkureS; �_ `Vetland; � <br /> 0 o t DeE. Hgt. Peal:Hgt. . . <br /> Builclin�Hei,� : <br /> Lot Covera�e: <br /> g Counc'tl Approval Date: <br /> Gradind: Staff App.ov� Date: y� -- <br /> , ' ��� ,� � - <br /> Septic: S�aff Approval Date: '� �y' <br /> Zoa�.n� File: � n -32>� Resolutioa: n <br /> Resolu[ion Date: <br /> Shorzland Districc: --��� I.a;Cove2�e• <br /> Av�. Setb2ck: E;�f`Se[5acl:: � ' <br /> Etsti.ao Proposed <br /> Ha��ecover: G-7�' __.—._. <br /> 7�-250' — <br /> 2��J-�u��' - <br /> ��J���1�r'\I�'��, <br /> `. \�` �� �i. L..L".���.. .1'./ `�� ^1. <br /> �arCCO''%E' VZ!c.^.C° R°�l:'.:2�: a2� .�. _ <br /> c��,L�L;S �i.n ho��el: <br /> �. . -- <br />