Laserfiche WebLink
, ' CHECR OFF LIST FOR ISSIIANCE OF PFI2MITS <br /> FOR OFFICE USE ONLY <br /> '�4DDRESS OR LEGAL: Z 3� fA�1 N lo�0 N (�A� PID: ('�// 7-�a� a=� �/�' _ . <br /> 713SCRIPTION OF WORK: Ig+�fA 1�R o^r� � <br /> � -------------------------------�_-2-------------- <br /> _---------------------------- � <br /> ;�NING RE9IEW BY: DATE APPROVSD: IJ' S -� <br /> �3:JILDING REVIEW BY: DATB APPROVSD: { (-5 - -r'i �" <br /> ---------------------- ----- <br /> g�s g•p gg CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes !� No ' � � <br /> PLAN REVIEW Yes �_No � � SEWER C�NNECTION <br /> STATE SIIRCHARGE Yes �/ No WATER CONNECTION � <br /> INVESTIGATION FEE Yes No �/' PARR FEE <br /> SAC � Yes No � SITE INSPECTION <br /> Vumber of SAC IInits OTHER (specify) <br /> �ONING CHECR LIST -----------------Zoning District:--/���IQ -------------------. <br /> �ire Department: Lo�e� Post Office:�iv�, Gr�ac.' School District: p2a-n� <br /> aot Area: N1�- Width: �/✓��- Depth: /✓��- <br /> �urvey Submitted: Yes C No Date of Survey: //-3 -52 <br /> �roposed Setbacks: <br /> Front (�) : 150� �- Right Side: �`1��� . <br /> Rear (5t�ee�t) : /50�,� Left Side: � /U�a- - <br /> Adjacent Structures: /�TT19GIfEo Wetland: �✓/,9� <br /> auilding Height: Def. Hgt. O.k Peak Hgt C�• l� � <br /> �vg. Setback: Lot Cover e: <br /> �x sting Propose <br /> 3ardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ° <br /> Hardcover Varian e Require : Ye No Date o Council Appro al: <br /> Grading: Staff pproval Dat : By ouncil. Approval ate:_ <br /> Septic: Staff pproval Date BY= <br /> Zoning File:# Res lu ion #: Resolution Date: <br /> RF�tARKS (in onse) : ,. . <br />