Laserfiche WebLink
' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZB�( C�sC-c% �`c��v,- D��r� <br /> PID: <br /> DESCRIPTION OF WORK: st�t�CZ+e��_ c�.�vv��.7:wz <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> � <br /> ZONING REVIEW BY: � .n..-, DATE APPROVED: /�Z-��� `t�: <br /> BUILDING REVIEW BY: ; L-� DATE APPROVED: r L--�z� �c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i,� No <br /> PLAN REVIEW Yes �No SEWER CONNECTION <br /> STATE SUR:HARGE Yes No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No ��` PARK FEE <br /> SAC Yes No _�� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: � <br /> Fire Dep � ent: Post ffice: School D' t 'ct: <br /> Lot Area: q. . Acres idth Depth <br /> Survey Su mitte' : Yes No Date of Surve . <br /> Proposed etbacks�• <br /> ont (L�): Right Side: <br /> ; <br /> ear (Street�: Left Side: <br /> ��� <br /> djacent St�tures: W tland: <br /> Building eight: Def.�gt. eak Hgt. <br /> � <br /> � <br /> Lot Cov rage: � <br /> ; <br /> ��, <br /> Grading: Staff Approval Date: By: Council Approval Dat : <br /> Septic: taff Approval Date°, By: <br /> Zoning ile: # Resolu on: Resolution Date: <br /> � <br /> �a i <br /> Shorel Dist:ict: <br /> Avg. Setback: '� B ff Setba : Lot Coverage: <br /> a isting Proposed <br /> Hardcover: 0-75' � <br /> 75-250' ' <br /> 250-500' �� <br /> 500-1000' \ <br /> � <br /> , <br /> �I Hardcover Variance Required:��� s � No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> � 26 <br />