Laserfiche WebLink
• CHECK OFF <br /> FOR ISTFFOOREISUSE IOSSUANCE PERMITS <br /> FADDRESS OR LEGAL: i7/3L/-5--'/-5-- Gf q-iel'i'T k'r1 a PID: 3/--Wer--. 3 /-3 069,1 3 <br /> DESCRIPTION OF WORK: ad—f -ri /}.s2 i"Z e-�1'! 0 �t)-c--t� <br /> ZONING REVIEW BY: NM -1 DATE APPROVED: <br /> BUILDING REVIEW BY: Qi�„F}.�e C�iJW� DATE APPROVED: `7- 17- cr l <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes / No <br /> PLAN REVIEW Yes !/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes V' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No-7 / PARK FEE . <br /> SAC Yes No r/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: A Post Of ice: School District: <br /> Lot Area: A Width: De- h: <br /> Survey Submitted : ► es No ate .f Surv- : <br /> Proposed Setb- ks : <br /> Front (L•-ke) : Rig ' Si:e: <br /> Rear (S reet) : Le S. de: <br /> Adjace t Struct res : Wetland: <br /> Building H-ight: De . Hgt. Allr Peak Hgt. <br /> Avg. Setb..ck: Lot Coverage: <br /> :xistin: Proposed <br /> Hardcov=r: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Har•cover Variance Re•u, red Yes No Date of Council Approval: <br /> Gr- •ing: Staff Approval Da e: By: Council" Approval Date: <br /> S=•tic: Staff Approval Da e: By: /, " <br /> Zoning File:# Resolution #: Resolution Date: f <br /> REMARKS (in house) : l�'NA J( i (boor LANE nrac_y - NO GHArv�pP OT <br /> &Dc T &Mir —NO 00"10‘-j /26V'L J ff5 v f(66- <br />