Laserfiche WebLink
• ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR I,EGAI,: ,��l.�� �����-c't> /"��r /� �� PID: ol'-� �-1/i� ��,�3 �7' 04�fv <br /> DESCRIPTION OF WORK: ���L����-c� <br /> ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: _ DATE APPROVED: -7-�1 L("�I 3 <br /> BUILDING REVIEW BY: ,.� DATE APPROVED: "7-1�-�!'3 <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: G�'�Q <br /> Fire Department: �/�(„�,�,.� Post Office: School District: yyj,ow•.tQ <br /> Lot Area: �,� �i3 T �r f wiath: �.v� !/Y�-+.-- Depth: ,�� i37. F� <br /> Survey Submitted: Yes_� No Date of Survey: '7�"�'� <br /> Proposed Setbacks: <br /> t <br /> F�ort� (,�}re,) ; L-/ld„�- 3p � Ri ght S i d e: .� -L <br /> �.� ��) ;/j,�s�r�( �//�9 Lef t Side: . - <br /> Adjacent Structures : f��77q�C��P� Wetland: ��/� <br /> Building Height: Def. Hgt. �• �� Peak Hgt. <br /> Avg. Setback: /'lf �/� Lot Coverage: /�li� <br /> Existing Proposed <br /> Hardcover: 0-75 ' � <br /> 75-250 ' d <br /> 250-500 ' ZZ ' �f °� �O <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes � No D� Date of Council Approval: <br /> Grading: Staff Approv 1 Date: By Counc' 1 Approva� Date: <br /> Septic: Staff Approva te: BY= <br /> Zoning File:# eso�ut'on # : Resolution Date: <br /> REMARRS (in house) : <br />