Laserfiche WebLink
CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' ' � FOR OFFICE USE ONLY <br /> ' � <br /> ADDRESS OR LEGAL: 3 O�{ 5� �sc'`� �r PID: <br /> JESCRIPTION OF WORR: L�='�`"' - " ' ����5�� <br /> ZONING REVIEW BY: d ------- ----------DATE APPROVED: �''I- �C�'CI �P <br /> BIIILDING REVIEW BY: DATE APPROVED: �t'- ��'1 ''S� <br /> -------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes�c/ No <br /> PLAN REVIEW Yes � I�Io SEWER CONNECTION <br /> STATE SURCHARGE Yes-T� 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 I,IST Zoning Di�trict: <br /> Fire Departmen • Post Office: School. D strict: <br /> Lot Area: Width: Depth: <br /> Survey Submitte : Yes No Date of Su vey: <br /> Proposed Setba ks: <br /> Front (La e) : Right Sid : <br /> Rear (Str et) : Left Side. <br /> Adjacent Struct res: Wetland: <br /> Buil.ding Heig t: De . Hgt. � Peak Hgt. <br /> ; <br /> Avg. Setback:� '� Lot�� Coverage: , <br /> � E�isting �roposed <br /> 1 <br /> Hardcover: 0-j 5 ' ` � <br /> I ',� ' r_._.._._.--------------- , <br /> 75-2�0 ' � <br /> , i <br /> 250-5p0 ' �: � � <br /> � <br /> i '� <br /> 500-1Ob0 ' <br /> Hardcover Var�ance Requi�ed: Yes N� Date of Council Approval: <br /> � � ' <br /> Grading: Staf A proval D�te: � By: Council Approval Date: <br /> , <br /> Septic: Staff p rovaJ. Dat�: I. BY= <br /> , <br /> Zoning File:# Re 1ution #: ' Reso�ution Date: <br /> � <br /> REMARKS (in house) : � <br /> wv�l� �9��� r�' o ��c �� <br />