Laserfiche WebLink
` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AT�DRESS OR LEGAL: � I �t O s v s S� x �2c,�� <br /> P : <br /> D�SCRIPTION OF WORK: N L(� �z�5 , <br /> --+-------------------------------- --- -------------------------------------------------------------------- <br /> Z ��TING REVIEW BY: DATE APPROVED: 3 - I�(- �� <br /> B DING REVIEW BY: �, DATE APPROVED: �- ;�- �� <br /> FE S TO BE CHARGED: Misc. Fees Calculated By: <br /> PE�IT Yes �' No <br /> PL N REVIEW Yes � No SEWER CONNECTTON <br /> ST TE S UR`�IARG� Yes � No WATER CONNECTION <br /> IN ESTIGA'I'ION-FEE Yes No �--- PARK FEE <br /> SA Yes No ✓ SITEINSPECTION <br /> N mber of SAC Units OTHER (specify) <br /> ----- ------------------------------------------------------------------------------------------------------------------ <br /> ZO �i 1G CHECK LIST Zoning District: R 2-1 g <br /> Fire epartment: �;.�; Post Office: (,tj School District: Q2pN c'� <br /> � <br /> Lot A�rea: Sq.ft. Acres Z �- Width ��cw��:,a�'Z Depth <br /> Surv Submitted: Yes_�(_ No Date of Survey: 3'3-'�`j <br /> Prop sed Setbacks: <br /> Front (�s): ��•� Right Side: 70•�l <br /> 5��-- <br /> Bea�(Street): I Z.�=� Left Side: N�l� <br /> Adjacent Structures: ti 1� Wetland: /�'�} <br /> I <br /> Build' g Height: Def. Hgt. 2� Peak Hgt. 3 Z.. <br /> Lot C verage: ,U//� <br /> Gradi�: Staff Approval Date: �. I�! -5"1 By: � Council Approval Date: � (�4 <br /> Septic: Staff Approval Date: 3�'I�(- 41 By: 5•w� <br /> Zonin File: # Resolution: # Resolution Date: <br /> Shorel d Dist:ict: ivZU <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> �.P` � 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REM�RKS (in house): <br /> • 26 <br />