Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2? 4�1 C/�FS� Por� T- � PID: <br /> DSSCRIPTION OF WORR: �n�--o�e C� <br /> --------------------------------------------- <br /> ZONING REVIEW BY: /v�� DATE APPROVED: <br /> BIIILDING REVIEW BY: �-- DAZB APPROVED: Z "1 - J�/ <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 Depart ent: PQst Offi e: School District: <br /> � <br /> Lot Area: Wid h: Dep?t : <br /> � <br /> Survey Sub it ed: Yes N Dat of Survey: <br /> Proposed S tba ks: � <br /> Front (La e) : � Rig t Side: <br /> Rear (Stre t) : � Lef Side: <br /> i <br /> Adjac t St uctures : i Wetl�nd: <br /> Buil.ding H ' ght: Def . Hgt� Pe�k Hgt. <br /> Avg. Setbaik: ' � Lot Cove#age: <br /> � Existi�trg Propos�d <br /> � � <br /> Hardcover: i0-75 ' l <br /> � <br /> 7�-2 5 0 ' � i.--------�---a-._____ <br /> ; <br /> 25p-500 ' ��I � <br /> � <br /> r <br /> 500�--1000 ' <br /> Hardcover � ariance Requi e : Yes No Date of Council pproval : <br /> Grading: S aff Approval D e: B : Council Appr val Date: <br /> Septic: Stlaff Approval Dat • BY� <br /> I <br /> Zoning File: # Resolution # : Resol.ution Date: <br /> REMARRS (in house) : <br />