Laserfiche WebLink
CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�I�U ���i;� `i !� �;?�" <br /> PID: <br /> DESCRIPTION OF WORK 1r;j;��` " I � ts,�,ti <br /> ----------------- -------------------------------------------------------------------------------------------- <br /> ��"_ ' „� DATEAPPROVED: I�—� - G <br /> gY.• /V(/� DATEAPPROVED: - d- <br /> '1 <br /> � (1 -------------------------------------------------------y--------------------------------- <br /> S���'l� 'D: / Misc. Fees Calculatec�B <br /> Yes r/ No <br /> �,��� Yes� No SEWER CONNECTION <br /> �,� Yes�� No WATER CONNECTION <br /> _.. r�E Yes No _� PARK FEE <br /> � Yes No l/ SITE INSPECTION <br /> Nzm�ber of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District L]Z — / � <br /> Fire Department: Post Offrce: School District: <br /> / <br /> Lot.4rea: Sg.ft. Acres ���5 Wiclth Depth <br /> SauveySa�bnzitted: Yes,� No Date ofSaGrvey: �� `' L� a �o <br /> Pr•oposed Setbacks: , /�t.✓�M �� i t <br /> Front(Lake): G 30 i- -�igfat Side: <br /> , �� + <br /> Sc�F <br /> U� <br /> Rear(SU�eet): ���- L-rft�tde: — <br /> � � <br /> Adjacent Structures: ;� ;� Wetland: h��'" <br /> Bui(ding Height: Def. Hgt. /V(�} Peak Hgt. N(/�- <br /> Lot Covcrage: {�/�- <br /> Grading: StaffApprova!Date: /� (/� By: Coamcil Approval Date: <br /> Septrc: Staff�lpprova]Date: ���- Bl�: _ <br /> Za7irrg File: #C��z37 Resolutioir: # Pesolutiorl Date: (U ZS C� � <br /> Shor•elund Distr�ict: �/ ��ICG��D Permit: <br /> �1vg. Setback: 61affSetbnck: LotCoverage: <br /> Existing �e�asezt ��/(ureC� <br /> Har•dcover: 0-?.i' �d 7O c#� <br /> ?.i-�.i 0' � � <br /> 250-�00' __1��_�_7� �� � <br /> 500-1000' �—" <br /> Hardcovert�a��ianceReqirr�•ed: }es t� ���o DateofCoarr�cil.�lpproval: (C� Z� ��/ <br /> REMARKS(in lioa�se): � C.� � Vlkv1 ��" /a I1 O c,,_,��nu.�� <br /> V�vl +� "� o �'= t v��-o Civl w uw��Cz� �.v �/1 <br /> O S � UC� ' O � Ov1 —" �C <br /> y�(r,�c�wca� c� � r�c����w► v►�ih c� fc� �,,�e�r��y� 1�2e�G�t��e se�r-�z fc� <br /> s yv�c I v✓(� » <br />