Laserfiche WebLink
' � CHEC�i OFF LIST FOR ISSUA.��TCE OF PERII�IITS <br /> _ FOR OFFICE USE ONL,Y � . <br /> ADDRESS OR LEGAL: 1� Z�� C�x �-,o,�2"yL n 'A-� - <br /> PID: <br /> DESCRIPTION OF�ORK: s L —r�r� f=i <br /> ZO��'G R.E�:i"Eti� BY: D�TE APPROVED: z- S -� I <br /> BUII�DItii'G REY��BY: D�.TE APPROY�D: Z- �-o� <br /> FEES TO BE CH.4RGED: Misc. Fees Calculated By: <br /> pERMi"I' Yes �� No :• <br /> pI,�N REVIEW Yes ,/ No SEWER CONiYECTION <br /> STATE SURCHARGE Yes �/ No WAT�RCONYEGTION <br /> ir,'VESTIGATION FEE Yes No PARK�E <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOti1�TG CT�CK LIST zonin� Districc: Nv c l-{�4s1lG e <br /> Fire Department: Post Office: School District: - � <br /> I.ot Area: Sq.ft. Acres idch Depch <br /> Surve,� Subu.itted: Yes No Date of Survey: <br /> Proposed Setbac!cs: <br /> Froat(La.�Ce): Ri�hc Side: � <br /> Rear (Screet): Left Side: <br /> Adjaceat S�ructures: �Vetl . • <br /> Building Hei�hc: Def. H�t. Pea.�: ot. <br /> Loc Covera�e: <br /> Gradir.�: Scafi Approval Date: gy: Council Approval Date: <br /> Septic: Staff Approval Da�e: By: <br /> Zoain� File: fi Resolution: � Resolutioa Date: . <br /> Shoceland District: <br /> Av�. Secback: Btufi Setback: LotCo�'era�e: <br /> E���? Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> ti0-SQO' <br /> 500-1OQ0' <br /> Hardcover Varia.nce Required: Yes No Date of Council Aoproval: <br /> gEtiIA.R�iS (in house): <br /> 7 <br />