Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 'Z'�<aC� (ZpAiO PID <br /> ADDRESS OR LEGAL: <br /> DESCRIPTION OF WORK:--------------------------------------------------------------- <br /> ZONING REVIEW BY: tzpu ,UCS^- — DATE APPROVED: 6 <br /> BUILDING REVIEW BY: --DATE APPROVED: <br /> _ __ __ - ------------- <br /> ---------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes •✓No <br /> PLAN REVIEW Yes �'. No SEWER CONNECTION <br /> No WATER CONNECTION <br /> STATE SURCHARGE Yes No �, PARK <br /> INVESTIGATION FEE Yes SITE INSPECTION <br /> SAC Yes No !/ <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------- <br /> Zoning District: <br /> ZONING CHECK LIST <br /> Fire Department: /Zl <br /> Post Office:- AJ School District: d <br /> Lot Area: /7 i,�-D width: q v Depth: 1 7 5- <br /> Survey Submitted: Yes )e- No <br /> Date of Survey:- cf- ZZ--2 S- <br /> Proposed Setbacks: �- 1�M Right <br /> Front ( ) = YJ Y, <br /> Rear (S �t) = tOb , Left Side: 33 x,1"1 <br /> Adjacent Structures: 110 Wetland: <br /> Building <br /> Height: Def. Hgt. Peak Hgt. <br /> Lo Cover e: <br /> Avg. Setback: <br /> Existi g ropose <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varianc Required Y <br /> No Date of Cou cil Approval: <br /> Grading: Staff proval Dat BY <br /> Council Approval Date: <br /> Septic: Staff pproval Date By: <br /> Zoning File: Resolution Reso ution Date: <br /> REMARKS (in house) : c�2IC 6o <br />