Laserfiche WebLink
A. . •� <br /> CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �2 � �2,C.ch/ ���/,T-C �j� - PID: J��-//� -� 3 �// G C�/�o <br /> DESCRIPTION OF WORR: .�'��eQ��-�u°����-� <br /> ------------------------�----------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: S' �2 '�j Z. <br /> BIIILDING REVIEW BY: o ��C�✓ DATE APPROVED: ,5- /Z-'r7 Z-' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMI T Ye s�l' No <br /> PLAN REVIEW Yes_p� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�_ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�C PARK FEE <br /> SAC Yes No_� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: �-If� <br /> Fire Department: ���� Post Office: �,,,,w,.T_ School District: - <br /> Lot Area: N�L Width: iv�L Depth: <br /> Survey Submitted: Yes� No Date of Survey: (, -t2•S-b <br /> Proposed Setbacks: � <br /> Front (�ka,l : N(19 Right Side: '�5 ± <br /> Rear (£�r�t') : �����' Left Side: L/ 7 � �' <br /> Adjacent Structures: A�m9cr-tp� Wetland: /U� <br /> Bui].ding Height: Def. Hgt. /�/�/-1 Peak Hgt. <br /> Avg. Setback: /��iq Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> � <br /> Hardcover Variance equi d: es No D f Council Approval: <br /> Grading: Staff Ap roval ate Council Approval. Date: <br /> Septic: Staff A roval at : BY= <br /> Zoning Fi�.e: # esol tion # Reso�ution Date: <br /> REMARRS (in ouse) : � <br />