Laserfiche WebLink
CHECK OFF LIST FOR ISSUAIVCE OF�'ERItiIITS <br /> � FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: I l� Gt�t.v v�5 c �2 -- <br /> PID: <br /> DESCRIPTIONOF Y�ORK: ��S�.wv..-�� ��N�si� <br /> ------------------------------------ ------------------------------------------------------- <br /> ZO�VING RE VIE YT�B Y: D.A TE APPR O VED: '� - S-o � <br /> B LiILDING RE VIE l�B Y: D,�TE APPR O 6'ED: � - �—�S <br /> --------------------------------- <br /> FEES TO BE CHARGED: hlisc. Fees Cnlccclated By: <br /> PERttitIT Yes f Na <br /> PLAN REVIEGV Yes � �vo SELVER GO�VNEGTIOtV <br /> STfLTE SURCH.4RGE Yes '� tVo tiT�ATER COtV�JECTIOtV <br /> INVESTIG,4 TIO�V FEE Yes �Vo � PftRK FEE <br /> S�l C Yes tVo � SITE tNSPECTIO�V <br /> 1Vumber' of SAC U�zits OTHER (specify) <br /> ------------------------------------------------------------------------------------------------ <br /> ZO�VIIYG CHECh'LIST Zor�irt,;Discricc: N o G[.F-�4�v�'�P <br /> Fir•e Departnaerrt: Post Ofj"�ce: Scltool Disd'ict: __.. <br /> Lot,�{ren: Sq.ft. Acres GYidth DepNi <br /> Scuvey Sc�brnitted: Yes N Date af Scuvey: <br /> Proposed Setbadcs: <br /> Frorit(Gal;e): Riglzt Side. <br /> Rear(Str•eet): Left Side: <br /> Adjacent Structures: GYetlan : <br /> Biiilding Keigltt: Def. Hgt. PeRk gt. <br /> Lot Coverage: � <br /> Grading: Staff.4pprovc�l Date: By: Cour2cil rLpp��oval Date: <br /> Septic: Staff,�lppral�a( Date: BY� <br /> Zo�iing Fife: # Resofutiai: # Resolutia:Dnte: <br /> Sl�oreland Dish•ict: <br /> Avg. Setback: uff Setback: Lot Coverage: <br /> E.�istin,; Pa'oposed <br /> Hardcovei•: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Harcicover Var•iarice Reqccirect: Yes o Date of Cocuaci!�lpproval: <br /> RE11�lARKS(i�t ltouse): <br /> 3 �. <br /> r�„ <br /> , ��.� <br /> . ��r � <br /> � . � '� <br />