Laserfiche WebLink
� CHECK OFF LIST FOR ISSIIANCE OF PF.RMITS <br /> • FOR OFFICE USE ONLY <br />�.IJDRESS OR I�EGAL: ' �� �� C/1��-«�-`�-- �i�it� PID: �� -/��' � 3 `� / G C�2:,2 <br /> , <br />�ESCRIPTION OF WORR: '�'i�!L! �(t�� <br /> ----------------------------_----------------------- <br /> ?ONING REVIEW BY=� DATE APPROVED: /t-Z- 9 3 <br /> �IIII�DING REVIEW BY: DATS APPROVED: t !- 2- f 3 <br /> --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> =�RMIT Yes�No � <br /> �'�yN REVIEW YeS No SEWER CONNECTION <br /> :siATE SURCHARGE Yes � No WATER CONNECTION <br /> C2�IVESTIGATION FEE Yes No � PARR FEE <br /> �C � Yes No�� SITE INSPECTION <br /> ::mber of SAC IInits OTHER (specify) <br /> -------------------------------------- <br /> ----------- <br /> :�ONING CHECR LIST Zoning District: 2-�� <br /> � <br /> rire Department: P 0 Scnool District: <br /> �� <br /> T�ot Area: Wi h: Depth: <br /> :'urvey Submitted: Yes� No Date of Survey: /�/ � f-3 <br /> �roposed Setbacks : / � �//� <br /> Front (-�e�) : /V f'1"d' Right Side: <br /> �2 ' Lef t Side : /✓ � <br /> &ea-r (-�-��=_) `t�_- - <br /> Adjacent Structures : �4fr14f�fCs� Wetland: /✓f!�' <br /> L Peak Hgt. <br /> Building Height: Def. Hgt. C� -1 <br /> Avg. Setback: ot Cover ge: <br /> Exis ng Propose <br /> Fiardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> aardcover Variance Re uired: Yes No Dat of Council Approval: <br /> Council A roval Date: <br /> "rading: Staff Appro 1 Date: By• P <br /> Septic: Staff Approv J. Date: y' <br /> Zoning File: � <br /> Resol t on Q: Resoluti n Date: <br /> RF.MARK$ (in house) <br />