Laserfiche WebLink
. ' <br /> �T�ECK p�'F irIST FOR ISSUANCE OF PER�.'VIITS <br /> ' FOR OF� E USE 4NL � <br /> A_pDRESS OR LEixAL: �F3O <br /> PII7: <br /> DESCRIP'��TO�I OF WORK: � ` ce <br /> -----�------- ------- <br /> _ ----------------- <br /> -------------------------- <br /> ZO�tNG REVLE'4V BY; � � � ! — AATE APPR4VED: <br /> SLT�DIt�IG REVLEtiV BY: `�i DA.T'E APPROVED: � ib D � <br /> k EES TO BE CHA.RGEA: Misc. Fees Calculated By: <br /> PEg1yuT Xes X No <br /> PLAN REVIEtiV Yes �C No SEtiVER COi CTION <br /> STATE SURCHARGE Yes � No �VA�ER.CO CTIO�t <br /> INVESTIGATION FEE Yes No l�' PARK FEE <br /> SAC Yes No �— SITEINSPECTIO <br /> Number of SAC�Units OTHER (speci�y) <br /> ZON11�iG CHE.CK LIST Zaning Districr. , <br /> Fire Dep�rtment: <br /> Post Office: School District: � <br /> Lot Area: Sq.fc. <br /> Acres � Widch Depct� <br /> Survey Submitted: Ye �!o Date of Survey: <br /> Proposed Setbacks: �(� <br /> Front(Lake): ' Ri�t Side: <br /> Rear(Stree�j; LeEt Side: <br /> Adjacent Scructures: WetLand: <br /> Buil�lin� Hei�.t: De�, Hgt, Pealc Hgt. <br /> Lot Covera�e: <br /> Grauin�: S�aff Approval Date: <br /> V�,S-�; CC�uiCu �tYj]:OV3� ��C?: <br /> Sep�ic: S�afi Approval Date: �Y� <br /> Zoain� F�le: R Reso!u:ioe: Resolution Da:e: <br /> She�et�.r.d Districc� Lot Coverage: <br /> Av;. Setback: B�uEf 5 back: <br /> Eusti�eg Proposed <br /> Hz�dcover; 0-75' <br /> 7�-2�0' <br /> 2�0-SQQ' <br /> �00-16Cy�� <br /> T1-�. �'r.il.`�("� 15,."]n'�V�Z. <br /> i.�_�'C11.���. `f�._.u!�o �.ar1L�.:..�. a2� . L� ._ _. .r.: <br /> ..y <br /> F.E�L�F.KS (in house): <br />