Laserfiche WebLink
CHECK OFF LIST <br /> FOR <br /> rISSUANCE <br /> OF PERMITS <br /> FOR OFFICE <br /> ADDRESS OR LEGAL: 3 S w�{ 2To``f PJ -PID: <br /> DESCRIPTION OF WORK: GA RIR-4-6 <br /> ----------- <br /> ------------DATE -- <br /> ---------- ----- S <br /> ------- APPROVED: _ <br /> ZONING REVIEW BY: <br /> �BIIILDING REVIEW BY: _ DATE APPROVED: G <br /> ----------------------------------------------- <br /> ------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> Yes No <br /> PERMIT SEWER CONNECTION <br /> PLAN REVIEW Yes t/ No <br /> STATE SURCHARGE Yes --*-No WATER CONNECTION <br /> INVESTIGATION FEE YesNo PARR FEE <br /> SAC YNo SITE INSPECTION <br /> Ye <br /> OTHER (specify) <br /> ) <br /> Number of SAC Units ------------------- <br /> -------------- <br /> ZONING CHECK LIST Zoning District. <br /> Fire Department: L- • L <br /> Post Office: C- - School District: Cyt0N0 <br /> Lot Area: NO <br /> Width: �— Depth: <br /> Survey Submitted: Yes OC No <br /> Date of Survey: <br /> Proposed Setbacks: <br /> Front (1a4eL-) : 1�� Right Side: ((S <br /> Rear (St) : fV <br /> 4- Left Side: �IAr w <br /> Adjacent Structures: <br /> 140 ' Wetland: /J114- <br /> Building Height: Def. Hgt• <br /> ©.fes Peak Hgt. <br /> Avg. Setback: Lot COv rage: <br /> sting Prop sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 <br /> Hardcover Vari nce Req ' red: Yes o <br /> Da a of Counci Approval: <br /> Grading: Staf Approval Dat By: Council A proval Date:_. <br /> Septic: Staf Approval at <br /> Zoning <br /> File # esolution #: Resoluti n Date: <br /> REMARKS (in house) : <br />