Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> No FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4/ 7S-�) /1/0• T//6/0C- QR PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------_------ -------------------- <br /> ZONING REVIEW BY: DATE APPROVED <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> i- ---------- -------------------------------- <br /> --------------------- <br /> FESS TO BE CHARGED: Misc. Fees Calculated By: <br /> Yes ��No <br /> PLANIREVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------ <br /> ----------------- G------ <br /> ZONING CHECK LIST Zoning District: f--13 <br /> Fire Department- n(u, J Post Office: School District: <br /> i <br /> Lot Area: 1 7,x'45 1 Width: / 7S Depth: /() <br /> Survey Submitted: Yeses_ No Date of Survey: " <br /> Proposed Setbacks: <br /> Front (Lake) : f Right Side: ev E <br /> Rear (Street) : ( 2 Left Side: 10 . 1 <br /> Adjacent Structures : A "IV79 Wetland: /064 <br /> Building Height: Def . Hgt. z 2- Peak Hgt. <br /> Avg. Setback: N(/f Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' 0 ` <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No /r Date of Council Approval: <br /> Grading: Staff Approval Date: 64 By: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> Zoning File: # Reso do 1 : esolution Date: <br /> REMARKS (in house) : <br />