Laserfiche WebLink
R CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: ZSs"�I �s�-' �'�^�T �''°� PID: <br /> DBSCRIPTION OF WORR: �r45Q W`�'� �`�`S N - — <br /> ------------------------------ <br /> ZONING REVIEW BY: /��f4 DATE APPROVED: <br /> BIIILDING REVIEW BY: <br /> � DATE APPROVED: /' Z�- S S <br /> -------- <br /> ------------- <br /> FEES TO BE CHARGED� Misc. Fees Cal.culated By: <br /> PERMIT � No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �Na WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------ ----- <br /> ---------------- <br /> ---------------- <br /> ------ --,r- <br /> ZONING CHECK LIST 7�onin District: % <br /> Fire Department: Post Of�ice : <br /> �chc4o� District: <br /> � <br /> ' Depth: <br /> Lot Area: Width: i — <br /> Surve Submitted:j Yes No / Date of Survey: <br /> Y --j <br /> ' � <br /> Proposed Setback� : � <br /> Front (Lake;) ' Right Side: __ <br /> � <br /> ; <br /> Rear ( Stre�t) Lef t' Side : <br /> � • W�tland: � <br /> � i � <br /> Adjacent �tru�tures : / <br /> �I ' / Peak Hgt. <br /> Building Heigkit: Jef . H�t. <br /> Avg. Setback: � Lot;"Coverage: <br /> � <br /> Exi '-ing Proposed <br /> 1 <br /> Hardcover: p-75 ' ' � <br /> , � /,, <br /> 75-250 ' _ <br /> 250-500 ' I, <br /> 5Q`0-1000 ' � <br /> Hardcove�r Variance ,R quired: Yes No <br /> Date of Council Approval : <br /> � gy; CounciJ� Apprcval Date : <br /> Grading: Staff App�; al Date: <br /> i <br /> Septic� Staff Appro a� Date : BY� <br /> Zoning Fi�e• # Resolution # • Resol.ution Date: __ <br /> gEMARRS (in house) : <br />