Laserfiche WebLink
C�� �FFFORSOFF�CEIUSE ONLY�F p�M2TS <br /> .ADDRESS OR I.EGAL: �� � � Gi� � PID: 3 U�l I �j -� 3 ;2 2, COO 6 �� <br /> - � V /.�fl�,/�, <br /> DESCRIPTION OF WORR: � ,E��r�-��'�' G'� <br /> -------------------_-n-p------- <br /> ------------ ----- y, � <br /> ZONING REVIEW BY: (TwLO DATE APPROVEDz .S" ( <br /> BIIILDING REVIEW BY: � DATE APPROVED: Cl ' S'cll <br /> ----------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�Na WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECR LIST Zoning District ��' I� <br /> Fire Department: <br /> IU�� Post Office• �l�- School District: L <br /> Lot Area: /U C- Width: Depth: <br /> Survey Submitted: Yes� No Date of Survey: y' <br /> Z/ - S� <br /> Proposed Setbacks: Ri ht Side• !$0�`�' <br /> Front (��e-� : N�� g <br /> Rear ( �tt) : Left Side: 80�+ _ <br /> Adjacent Structures : i¢T�G�'f�� Wetland: /v��' <br /> Building Height: Def. Hgt. ��� Peak Hgt. /"�/� <br /> Avg. Setback: /Vl� Lot overage. <br /> Existing P oposed <br /> Har3cover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance quired: Yes No Date o Council pproval: <br /> Grading: Staff App oval Date: Y� <br /> ouncil App oval Date:_ <br /> Septic: Staff Ap roval Date: BY� <br /> Zoning File:� Resol tion #� Resoluti Date: <br /> R�ARKS (in house) : <br />