Laserfiche WebLink
�KECg pk'F �IST FOR ISSUANCE O�' �E��TS <br /> �OR OFFICE USE ONLY� <br /> ADDRESS OR LE�AL: i� `- ��`� � <br /> pID: <br /> �7ESCRIPT'IO`T 4F WORK: "�- �'�''�� � <br /> ��� -------------------------------------------- <br /> ---_____----- ----------_____...__ pATE APPROYED: <br /> �01,�i G �tEVZE�4V 13Y: DATE APPROYED: �3 — � _o� <br /> �UII�DITiG REVIE�V BY: � <br /> FEES TO BE C�T�-�GED: Misc. Fees Calculated By: <br /> PER�.�lIT Yes � No _ <br /> PLAN REVI.E`V � Yes —� No SE�VE.R CO�NECTION <br /> �/ No tiVATERCONNECTION _ <br /> STATE SURCHARGE YeS No � p��{ FEE <br /> INVESTIGATION FEE �'es No --�� sTTEINSPECTION <br /> SAC Yes — . � <br /> Number of SAC�Uruts _ <br /> OTHER (specify <br /> Zp! � � �H�CK LIST Zoaing District: N� � <br /> Fire Departs.ent: <br /> Post Office; Schaol District: � � <br /> Acres Width Depth <br /> Loc prea; Sq.ft. . <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> Proposed Setbacks: ��� Side: <br /> Front(Lake): <br /> Rear (Street): Lef . <br /> �Pnr C�n rn r . �VeC�?.s�' <br /> ��]3...,.._ 1_ 1_Z"; <br /> Euildin� Hei�t: DeE, Hgt. �e�`�'��� <br /> Lot Ccvera�e: <br /> Gradi.ng: S�afi Approval Date: <br /> By; CounciJ. Approval Date: ' <br /> 'i - � � 'C� 7�y: �(� <br /> Sepcic: StafP Aporova.l Da�e; _ <br /> Zoai.nQ F��lz: �_______—. <br /> Resolut:oa: �_____ RP`Qlu�ion Da:e: <br /> Shoretand Distric�: L.ct Cover��e: <br /> Av� Setb2c't,� E!� : Secback: <br /> Etis i.e� P;opesed <br /> H�ecavP��, G-i�' --.--- <br /> 7�-2�C' .--- <br /> �,..'���J� �--�--' <br /> �.��J'.v����� <br /> r'7'f','...").'�.^ �V ?'._. � �''-�ti�:�'..Z��. i•�] ���n �_._ l.'. L.l:'�_" ' _ � . <br /> r_.,�TT .���� �; _R�J,,;_1, <br /> ,.__ <br />