Laserfiche WebLink
� CHECIi OFF LIST FOR ISSUA.z�'CE OF PERi1�IITS <br /> _ FOR FFICE USE ONL.Y � . <br /> ADDRESS OR LEG.AL: Z s►-�A� <br /> PID: . � ` .-�/ <br /> DESCRIPTION OF�ORK: N�w �2�5 <br /> . <br /> ZO��G REYIE�'�+BY: �cP DATE APPROVED: ��- �S-0/ <br /> BUII�DI�i'G REVIEtiV BY: D�TEAPPROYED: 3 -►5-o i . <br /> F'EES TO BE CH.4RGED: Niisc. Fees Calculated By: <br /> pEgivIIT Yes ✓ No � <br /> pI,AN REVIEW Yes ✓' No SEWER COiv�1ECITON <br /> STATE SURCHARGE Yes ✓ No WATERCON�ECTION <br /> IT,rVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ,� SITEINSPECZTON <br /> Number of SAC�Units �11,(��T �r�,o„� /12.rn o � !O1THER�specify) ��� ��f � <br /> E K r/lA C�'Lt—✓J,r �9�n`F — Z /`�'oN�3 r✓�rrw^�__ � N <br /> U <br /> ZOti1.�G CHE.Cb LIST Zonin�Distzicc: LR- /C . <br /> Fire Departmenc: N►ov N YJ Post Office: c,,j N�/�ZIa'�4 School District: LU�PSTd N��''a • <br /> L.ot Area: Sq.fc. 4d,43 V Acres . `l 2 � Widch �Rrzx G��iz Depth <br /> Surve,� Sub.�.itted: Yes_� No Date of Survey: � •2 V- �� <br /> Propased Setbacks: , <br /> .F�a�t (Lz�Ce): I I � Ri;ht Side: �2 �• (. <br /> Rear (Screet): y$ � Left Side: 3 � , <br /> Adjacenc Structures: �v //} tiVetland: N�� � <br /> Buildin� Hei�ht: De�. H�t. Pea.L H�t. <br /> Lot Covera�e: 10°�° <br /> Grading: Stzfi Approval Date: 3 ' �'�- � � By: � Council Approval Da[e: N�/� <br /> Septic: Staff Approval Date: � �✓� By: ' <br /> Zoning File: � " Resolution: � — Resolution Date: — . <br /> Shoceland District: ��5 <br /> Av�. Setaack b� ��- Btufi Secback: _� �''� LotCocen�e: �o`�� - <br /> E���� Proposed <br /> Hardcover: 0-7�' � <br /> 75-250' �y •q� <br /> ti0-500, �°l,.`l <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Aoproval: <br /> gEI�LA_RIiS (in house). <br /> 7 <br />