Laserfiche WebLink
• • <br /> CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE ZISE ONLY <br /> ADDRESS OR LEGAL: 2`�� ��/N w0 O O V Ati-e <br /> PID: <br /> DESCRI�TI0�1�'OF WORK: �,�,��„ �t.�...,.,. .,., l.m w$. L�e�- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONWG REVIEW BY: n� lR _ DATEAPPROVED: <br /> BUILDING RE[�IEW BY: DATEAPPROVED: S• ►�•�� <br /> ----------------------- <br /> FEES TO BE CHARGED: tl�Iisc. Fees Calca�lc�ted By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEYi� Yes ✓' No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No_� SITE INSPECTION <br /> Nau7�be�•of SAC Unils OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIIVG CHECK LIST 7_or�ing Dis�rict: Nb C k�/vG e <br /> Fire Departrnent: Post Off ce: School District: <br /> Lot Area: Sg.ft. Acr-es Gi%idth Depth <br /> Scrrvey Submitted: 1'es No Date of Sztyvey: <br /> Proposed Setbncks: <br /> Frazt (Lnke): Right Sic�e: • <br /> Ren�•(Street): Left Side: <br /> Adjncent Structzu�es: i'etland: <br /> Building Flerght: Def Hut. Pectk Hgt. <br /> LoI Coverage: <br /> Grnding: Stnff.4pproval Date: B}: Coirncil,<lppr•oval Date: <br /> Septic: Stnf f.�ipproval Dn1e: �y <br /> 7_o��ing File: � Resolution: �` Resolarlion Date: <br /> Sl�or�eland DisU•ict: il-lCGVD Per•�riit: <br /> ,•1 tig. Setback: B(a�ff S'etback. Lot Coverage: <br /> Exrsti�:g P��oposed <br /> Hardcove,•: 0-%�' —____ <br /> ji_7j�' <br /> �5�-���� <br /> ;oa�ono� <br /> flardcover I'crr•ia��ce Reqtrired }'es ,\'o D�rte of Cocrncil.4pproi�al: <br /> RE�LI,4RKS(i�� Irocrse): <br /> 33 <br />