Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> '/ �'FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL 1.,`T6 ��C/ e -� ��i d PID: 3 -13 a c�a� <br /> DESCRIPTION OF WORK: <br /> --------------------------- ------------------------------------------- <br /> ZONING REVIEW BY: _ DATE APPROVED: <br /> BUILDING REVIEW BY: cy(� lXAw► DATE APPROVED: <br /> ---------------------- ----------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓. No <br /> PLAN REVIEW Yeses' No SEWER CONNECTION <br /> STATE SURCHARGE Yeses 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 Ro.-, a <br /> Fire Department: 1.0t5 (_^1CA_, Post Office: IVIG School District: A11C_ <br /> Lot Area: Al It- Width: A116- Depth: AflG <br /> Survey Submitted: Yeses No Date of Survey: <br /> Proposed Setbacks: <br /> Front (tea) : N'A Right Side: <br /> Rear (Slx�a�) : D�-F Left Side: <br /> Adjacent Structures : /JWetland: A114 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: A Lot Cov rage: <br /> Ex sting Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia a Requi ed: s N Dat of Coun ' 1 Approval: <br /> Grading: Staff pproval ate: By: Council Approval Date: <br /> Septic: Staff pproval D te.. By: <br /> Zoning File: # Res lution Resol tion Date: <br /> R_RMARKS (in ouse) : <br /> I� E <br />