Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3SZ.c� WA-2CZT0w� 2� PID: <br /> DESCRIPTION OF WORK: G2E2-7V (OdttC-14 <br /> --------------------------------------------------------- <br /> ZONING REVIEW BY:—44 DATE APPROVED: j '`1-S S <br /> BUILDING REVIEW BY: CLt', DATE APPROVED: 5 -4 -tet 5 <br /> -------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ✓ 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 /> --------------------------------------------------------- <br /> ZONING <br /> --------------------- ----- ----------- <br /> ZONING CHECK LIST Zoning District R <br /> Fire Department: Post Office: School District: Z) <br /> Lot Area: 137,2-26- Width: g:ZS Depth: 412,Z- A V C <br /> Survey Submitted: Yes>G_ No Date of Survey: Cl - 10-Cl I <br /> Proposed Setbacks : <br /> Front (Eake) : A) /A Right Side: V C- <br /> Rear (Se-t) : ZyS �= Left Side: Z30`frw-� <br /> Adjacent Structures: /V4 Wetland: '-- <br /> Building Height: Def . Hgt. Ql/< Peak Hgt. olX <br /> Avg. Setback: A//4- Lot Coverage: N�A <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian e Requ red: Yes No Date of Council Approval: <br /> Grading: Staff pproval ate- y: Co cil Approval Date: <br /> Septic: Staff pproval D te: BY: <br /> Zoning File: # R sol u ion #• Re olution Date: <br /> REMARKS (in ouse) : <br />