Laserfiche WebLink
i <br /> CHECK OFF LIST FOR ISSUANCE OF PERtti,fITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: '�l l'1 S►a�v l�s To N� ��Q _ <br /> PID: <br /> DESCRIPTIOIV OF yVORK: /��E w ��S <br /> ------- ---------------------------------------------- ---------------- - <br /> --------------------------------------- -- <br /> ZO[YINGREVIEWBY: DATEAPPROVED: //'/ �� oy <br /> BUILDING REVXEW BY: DATEAPPROVED: / � - � � -� � <br /> ---------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: 1L'Iisc. Fees Calccc[ated By: <br /> PERttitIT Yes � No <br /> PLANREVIEtiV Yes �/ tVo SEWER GOtViVECTION <br /> STATE SURCHARGE Yes _/ tVo tiV�1TER CO�WECTIOIV <br /> It�JVESTIGATION FEE Yes �Vo � PARK FEE <br /> SAC Yes�G No SITEINSPECTIOcV <br /> Ncunber of SAC Units Z OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------- -- <br /> ZONI[YG CHECh'LIST' Zar�i�:g Disd•ict: <br /> Fire Deparhnerrt: Post OJfice: Schoo!District: __ <br /> Lot.�lrea: Sq.ft. Aa-es GYiddz Depth <br /> Sau�vey Subrriitted: Yes�' _ No Date of&uvey: (�`03-�� <br /> Proposecf Setbacks: <br /> Front(Ga�e): � Riglit Side: � <br /> Rear(Street): �'I Left Side: v <br /> Adjacent Structcu•es: C7 G�etland: N�� <br /> Building Height: Def. Hgt. (�,� Peak Kgt. <br /> Lot Coverage: � � �� <br /> Grc�cting: Staff App►'ovicel Date: — By: Cou�2ci1 rlpprova!Dccte: <br /> Septic: Stnff.4pprova!Date: -- BY� <br /> Zoning File: # — Resolution: # Resolution Dnte: <br /> Slaoreland Dish•ict: /V � <br /> Avg.Setback: Blc�f�`'Setback: LotCoverage: <br /> Esisting Proposed <br /> Harcfcove�•: 0-7.i' <br /> 75-250' <br /> 250-500' <br /> 500-l000' <br /> Harcfcover T/ariance Required: Yes No Date of Cocuicil��Approval: <br /> REt1�lARKS(in ltouse): <br /> 31 <br />