Laserfiche WebLink
CHECK OFF LIST FOk ISSUANC.E OF PEIt�ti.flTS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 33`-!`� C��`-�s�'� ��� <br /> PID: <br /> DESCRIPTION OF Y�ORK: -� �-� <br /> ------------------------------- <br /> ------- ----- ---------------------- <br /> Z0IYING REVIE tT/B I': ,D.ATE APPROVED: 3- 3�- o s � <br /> BLiILDING RET�I�EYY�BY: DATEAPPR06'ED: 3• 3� -�� <br /> -------------------------------------- <br /> FEES TO BE CHARGED: Nlisc. Fees Cnlculated By: <br /> PERNIIT Yes � No <br /> PLAN RE UIE GV Yes � No SEYVER GONNECTION <br /> STATE SURCH4RGE Yes—�/ tVo tVATER CON�VECT.ION <br /> I��IVESTIG,4TIONFEE Yes ��fo � PARKFE'E <br /> SA G Y"es No � SITE NSPECTIOIV <br /> 1Vi�rnber of SAC Units 07'HER (specify) <br /> ---------------------------------------------------------- <br /> 2'O�VIIVG CHEC,£i'LIST Zar�irtg Disn•ict: <br /> Post O ice: Scli.00(District: _.. <br /> Fire Depnrfrnerrt: ff <br /> Lot,dr•en: S t. �cres �l��dtlr Deptli <br /> 9•f <br /> SuJvey Subr�iitted: Yes No _�, <br /> Date af Scuvey: ,�.e.� ��n' "� <br /> Proposect Setbacks: , � <br /> Fi•or�t(Lrrkej: ? �_ Rig/at Sicie: �!� <br /> Rear•(St�eet): ��� Left Side: �2-� �_ <br /> Adjacettt Str��ectures: �O �� G�letland: N �►� <br /> BuildingHeight: Def. Ngt. (�•1�- PeakKgt. <br /> Got CoverRge: � �9�K- <br /> Gl'RC{lltg: SlCiff.4ppr'avc�l Date: � (� By: Cocu2cil�lppi�ova! Dccte: <br /> Septic: Stafftlpprava!Date: '' By: <br /> Zo�iirig File: # — Resolcctio�t: # Resolictioit Date: <br /> Sltoreland Dish-ict: ��3 <br /> �vg. Setback: /�i�' Bl�cff5etbac/c: n/ (�i" LatCoverage: �lC <br /> Esistin,� Pt•opased <br /> Hc�rdcaver: 0-75' �,�� <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcove�• Vnriarice Reqti�ired: Yes No �,_ Date of Coautcil Approval: <br /> .RE11�IA_RKS(ift l�ouse): <br /> 31 <br /> _ . . <br /> , . <br /> ��- � , �' ,-. ���M_ � . <br />