Laserfiche WebLink
CHECK OFF LIST FOR ISSUAlYCE OF PER1ti.tITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: Z3C�0 C3AY v�L,c� Pcl�c� <br /> PID: <br /> DESCRIPTIONOF 6�'ORK: N�w � �• <br /> ------------------------------------------------------------------------------------------------ <br /> 7_0��7�VGREVIEYVBY: DATEAPPROVED: � z- �-OY <br /> B LiILDI�VG RE�7E W B Y: DA TE APPR O 6'ED: � 2r- z -�� <br /> -------------------------- <br /> FEES TO BE CHARGE,D: �L'lisc. Fees Calci�lated By: <br /> PERILIIT Yes ✓ No <br /> PLANREI/IEYV Yes c/ 1Vo SEYVER CO�VtVECTION <br /> STATE SURCH.4RGE Yes � �Vo tiVATER CO�WECTIOIti' <br /> ItVVESTIGATIO�V FEE Yes IVo ,/ PARK FEE <br /> S.�!C Yes �Vo �c _ SITE NSPECTIO�V <br /> �Vunzber of SAC Units T��.,���rt,�r� �ncn� pg�vt�o OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIIYG CHEC.£i L,IST zo��i+tg Disc��icc: <br /> Fire Deparhnerrt: Post Off ce: Scl�ool District: __. <br /> Lor,�lren: Sq.f't. 30�7 53.3 C� �cres �1 b� 6Yidth DepNi <br /> Si��vey Subniitted; Yes�_ Na Date of Seuvey: I1•ZY•O�{ <br /> Proposed Setbacl;s: <br /> Front(Lal.e): s2• 2-� Right Side: 3�1•b I <br /> Rear(5h•eei): SD' � Geft Side: g S�• `I <br /> Adjacent Str•e�ct�u•es: 1 Z � t YVeda�ld: /✓/i4 <br /> Building Xeight.• Def. Hgt. ZZ' Peak Kgt. Z$� <br /> Got Coverage: r I`rZ� <br /> Grnding: Staff.4pp��ovccl Date: � z -"7 - �`( By: o�� . Cou��cil App�roval Date: <br /> Septic: Stnff,4pproval Date: �J I� BY� <br /> Zatirig File: � -� Resolutiaz: # Resoli�tio��Date: <br /> S/toreland Dish•ict: ��S <br /> Avg. Setback: y�11/� Blc�ff Setbnck: N(/1 Lot Coverage: I 1 °l• <br /> E�istiag Proposed <br /> Hctrdcover•: 0-7�' <br /> 75-2�0' <br /> ZSO-500' <br /> 500-1000' ��3°T° } <br /> ffarcicaver Variance Reqc�ired: Yes No o� Date of Cour:cil Approval: <br /> RED�IARKS(in house): <br /> 31 <br />