Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 3(ob 1 "T O V CD Zo(.�s 6 <br /> PID: <br /> DESCRIPTION OF WORK: A oo c Ti oty 5 <br /> ----------------------------------- <br /> -- —— <br /> --------------------------------------------------------- -- --- <br /> ZONING REVIEW BY: —,Put DATE APPROVED: y- $ <br /> BUILDING REVIEW BY: , DATE APPROVED: S- 2-g ti 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes +/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SUR`HARGE Yesy No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LR-le- <br /> Fire <br /> CFire Department: NY1oVN o Post Office: wA�jzSTA School District: <br /> Lot Area: Sq.ft. 2 L S-7`'i Acres . y 1 Width N6.3 Depth 2.015 <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (fie): :30.1 Right Side: ZZ•( <br /> Rear (Sfr-eef) N IA' . Left Side: y Z.G <br /> Adjacent Structures: 4TTKc-kcno Wetland: 1 (A <br /> Building Height: Def. Hgt. d •k Peak Hgt. O. 1� <br /> Lot Coverage: <br /> Grading: Staff Approval Date: V. 7 g J) By: De 6_,,_ Council Approval Date: N 64 <br /> Septic: Staff Approval Date: N By: — <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-'500, 12"Io <br /> 500-1000' <br /> Hardcover Variance Required: Yes No C� Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />