Laserfiche WebLink
~ CHECX OFF LIST FOR ISSIIANC? OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A:7DRESS OR LEG� DESCRIPTION:�-� G� '� S u-�� � ��� ��V � <br /> PID: ��`I � � ' Z� 2 , �C,�� C:� <br /> DES�TPTION OF WORR: �)F�h-� �`! �„G�'- � !��*!'.. ; (2 z -,;;, . <br /> ------------------ - <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BIIILDING RL'VIEW BY: .DATE APPROVED: <br /> pERMIT ISSDSD BY: DATE: <br /> ---------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No SEW R UNI� $ <br /> � � <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> PENALTY Yes No ✓ PARK FEE <br /> SAC Yes �/ No SITE INSPECTION <br /> OTHER (specify) <br /> ZONING CHECX LIST -----------------Zoning District---� `��------------------- <br /> Fire Department: � � � � Post Office• � � �-- � School District: �=-��'� <br /> Lot Area: "�1, c '� P D Width: Depth: � <br /> ....-.. <br /> Survey Submitted: Yes )C No Date of Survey: � � ��'�'�� ` � , + <br /> � <br /> �'��„-• �;� �� <br /> Proposed Setbacks : <br /> r f- f <br /> .� Front ��l: �'J'�� s Right Side: -' �'` W <br /> S Rear (-�s�.t) s 3 � � Lef t S ide: � �= � E"�RO'�� <br /> Adjacent Structures: Wetland: �"—"—' � <br /> Existing Proposed <br /> Hardcover: �' �--l�'� � � � � I �� <br /> .�+-- ��} /_�� � G1 �O 70 �y( <br /> Hardcover Variance Required: Yes No��Date of Council Approval: <br /> Grading: Staff Approval Date: � By: Council Approval Dates <br /> Septic: Staff Approval Date: p�("� BY=�� � <br /> Zoning File: # Resolution # : Resolution Date: <br /> REl�lARRS (in house) : <br /> , _ _ <br /> . ---._. _ ._ <br /> . _ . ----._.. <br />