Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> t FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�A Op (LJ PID: <br /> DESCRIPTION OF WORK: STDEI-kcLE_ <br /> ------------------------ --- --------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: g- `{ 7— <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yeso 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 Department: Al L- Post Office: IV& School District: <br /> Lot Area: AJL Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (bake: Z2a`� Right Side: �O <br /> Rear (Street) : 14(! � Left Side: l7 `?- <br /> Adjacent Structures: -701 Wetland: V/,4 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: /V //1 Lot Co er ge: <br /> Existing Pro ose <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance R uired: Yes No Date f Counci Approval: <br /> Grading: Staff App val Dat By: Council Approval Date: <br /> Septic: Staff Ap oval Dat By <br /> Zoning Filer R lution Resolu on Date: <br /> REMARKS (in use) : <br />