Laserfiche WebLink
� CHECR OFF LI�T FO� ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'�C.� Q2(�UJN �/� S v pID; <br /> DESCRIPTION OF WORR: �EG[�s r Scil.t�v �c/LG/-F <br /> -------------- -- ----------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: s' Y- cj Y <br /> BIIILDING REVIEW BY: �' L�� DATE APPROVED: s ' �!�l � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes ,/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �" SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: �� �Post fi e � � �choo� District: <br /> ��� <br /> Lot Area: �. � idth: Depth: <br /> Survey Submitted: Yes� No Date of Survey: O�+ r'r(,.Ls <br /> Proposed Setbacks : � <br /> Front (Lake) : �� � Right Side: /S"S� � <br /> Rear (Street) : N�/a Lef t Side: �(� <br /> Adjacent Structures: /���uf�=� w�: /Z/� L�4Kt' �!3 � <br /> Building Height: Def. Hgt. U• K Peak Hgt. (���- `�� <br /> Avg. Setback: I�/�/f Lot Coverage: (�•Z�o <br /> Existing Proposed <br /> Hardcover: 0-75 ' � ?•� -/� Z�.Z.'�n <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes�C No Date of Council Approval: $-y- 5 3 <br /> Grading: Staff Approval. Date: �U � �t4 By: Council Approval. Date: <br /> Septic: Staff Approva]. Date: i/`��1'4 By: <br /> zoning File:# IY42 Resol.ution # : 331y Resolution Date: �<(ig3 <br /> REMARRS (in house) : <br />