Laserfiche WebLink
. ( G�20 <br /> CHECiK pFF i�IST FOR TSSUANCE 4F �'E�'VITTS <br /> FOR OFFICE USE ONLY' <br /> A.DpRESS ORLEGAL: �: (��� ��xan�'� S .dc� i�(�. ; , � <br /> PID: . <br /> I7ES CRTP'I.'TON OF W ORK: /�vr�q Sn�nc�- <br /> __--�----- <br /> - ----------____--------------------------�d,_ �'----------------- <br /> ZOti�i IG REVIE�V 73Y: �(- DATE APPROVED: Z C1� <br /> BU�LDING RE'YIE�V SY: " D.A.TE APPROVED: 3� Zz-a� <br /> FEES TO BE CHA.RGEA: ! Misc. Fees Calculated By: <br /> PER�.�I.IT Yes c� No <br /> PLAN REVIE`V � Yes i/ No SE�YE.R CO�INECTION <br /> STATE SURCHARGE Yes l/ No �VATE.RCONNEC�'ION <br /> INVESTIGATION FEE Yes No s/ PARK FEE <br /> SAC Yes No � STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> --------------------------- <br /> ---------------------------------- <br /> ZON.7��IG CT:�E.CK LIST Zoaing Discricc: � � I� • <br /> Fite Departs.ent: <br /> Post Office: Schaol District: <br /> I.ot Area: Sq.ft. Acres Widch Depth <br /> Survey Submittecl: Yes ✓ No Da[e of Survey: �� ' R� ( � <br /> F��� ' . <br /> Proposed Setbacks: �Q � Side; �� ' <br /> Front(L�kc): f/lR � <br /> Rear(S[reet): __�_�___ Left Side: n� <br /> �`�.��3CP�r CrnlCh�r�:; �/'� tivPE���: /�� � <br /> Building Hei�t: Def. Hgt. /1I� Peal`Ho�' <br /> Lot Coveraje: h/�__ <br /> GradL-�g: Scaff Approval Date: /Uv G[��xnt BY: <br /> c� Council Approval Date: ' <br /> Szp�ic: S�af�Approv3! Date: �f� j �'LJ� �Y� ��-` <br /> Zoa�n� File: �`__. Resolutioa: n _ Resolution Date: <br /> Sho�eland Districc: //1� <br /> Avg. Setbac�:: gl,�F`Serback: Lc�Cove2ge; <br /> Ecistino P;oposed <br /> H�c�over; G-7�' <br /> 'l�-2�0� <br /> 2�C-�GG' <br /> ��JV-1C�C�J� <br /> <, �;v �_.., o` Co�c� .`,� �. =': <br /> �a•���,��,•er `Y�Z'.��^.�2 Z'GU'.:2�: '2i . - - <br /> F.r�L�-�� (Ln ho',;�l; J�cfC(��twl. !s /to F f try�C [,M ou�'r� -�u �v►c{2/ <br /> ,G��2hd ../-C�-�'' �Nt ra��,•�n/- � �u�t�� <br />