Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2Z ZS �JT7'� l3c-YD PID: <br /> DESCRIPTION OF WORK: 1 'JlEal ok- F►2e w A.LC <br /> ------------------------------------------ <br /> ZONING REVIEW BY: A( DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> --------------- ------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (/ No <br /> PLAN REVIEW YesoW No v' SEWER CONNECTION <br /> STATE SURCHARGE Yes p-* - No WATER CONNECTION <br /> INVESTIGATION FEE Yes No 'PARK FEE <br /> SACYes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZONING CHECK LIST Zoning Di trict: <br /> Fire Department: Post Office: School D strict: <br /> Lot Area: Width: Depth: <br /> Survey Submitt Yes No D to of urvey: <br /> Proposed Setba s: ' <br /> Front (La ) : Right S de: <br /> Rear (Str a ) : Left S de: <br /> Adjacent t uctures: Wetland: <br /> Building Heig Def. Hgt. Peak gt. <br /> Avg. Setback: Lot Coverag <br /> Existing Proposed <br /> Hardcover: 0- 5 ' <br /> 75-2 0 ' <br /> 250- 00 ' <br /> 500-1 00 ' <br /> Hardcover V riance VR <br /> d: Yes No Date of Council proval: <br /> Grading: St ff Apprte: B Council Appr val Date: <br /> Septic: St ff Approe: L By: <br /> Zoning File:# esolu ion #: Resolution ate: <br /> REMARKS (in house) : <br />