Laserfiche WebLink
, , �. CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /2 Y S �� A� N pID' � <br /> DESCRIPTION OF WORK: S 'P�QG�'� <br /> ---------------,,n--_ ----------------------- <br /> ZONING REVIEW BY:_ �'P�. (�.- DATE APPROVED: S-/7- S� <br /> BDILDING REVIEW BY: DAT$ APPROVED: S-/7- S � <br /> -------------------- ----- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J�. No � <br /> PLAN REVIEW Yes � �No� SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC � Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------- <br /> ZONING CHECK LIST Zoning District: L/L-►/� <br /> Fire Department: C.��CE Post Office: (.c�..�� C��cc� Schoo� District: D�Na <br /> Lot Area: /VV C���3�'`�idt Depth: <br /> Survey Submitted: Yes� No Date of Survey: S'"� L�� �► <br /> � o� F�iC <br /> Proposed Setbacks: � � <br /> F�eat (Lake) : 1 y o Ri ght Side: !N Ig t , <br /> Bs�-r (Street) : /'11 (�A Lef t Side: 0 � w <br /> Adjacent Structures: /¢-TT►AC.l�f-E�' Hletland: /v�/4 <br /> Building Height: Def. Hgt. (� . �G Peak Hgt. D•(G <br /> Avg. Setback: C�•l� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' d •�c <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No ?C Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval. Date: <br /> Septi c: Staf f Approna]. Date: • BY= <br /> Zoning File:# _ Resolution �: Resolution Date: <br /> REMARRS (in house) : <br />