Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2,O W Aj,!�- F i 0-tie3 PID: <br /> DESCRIPTION OF WORK: W t w oc'-'�5 !A) S CA."^i <br /> ----------------------------------------------�---------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: Wr' DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes --�No <br /> PLAN REVIEW Yes t,-" 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 /> ZONING CHECK LIST Zoning District: <br /> Fire D partment: ost Of ice: School District: <br /> . Lot Ar a• Wi the D the <br /> Survey Sub itted: Yes N ate of Sury y: <br /> Propose Se backs : <br /> Fr nt ( ake) : fight Side: <br /> Rear (St eet) : Left Side: <br /> Adjacent tructures : etland: <br /> BuildingHeight Def. Hgt. Peak Hgt <br /> Avg. Setback: Lot Coverage: <br /> Existing roposed <br /> Hardco er: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardco er Variance Req 'red: Ye o Date of Counci Approval: <br /> Gradin Staff Approval at : By: Council Ap roval Date: <br /> Septic Staff Approval Da a By: <br /> ZoningFile:# a olu ion Resolution Date: <br /> REMARKS (in house) : <br />