Laserfiche WebLink
� � CHEC�i OFF LIST FOR ISSUA.NCE OF PER1'nTS <br /> ' •� � FOR OFFICE USE ONL.Y . � . <br /> - �}DgESS ORLEGAL: 51 °l FcRn� U�L i�,, r?,J - <br /> PID: <br /> DESCRg''ITIONOF�ORK: (Jc:LIC .5�T�9--r✓�� /�j•oJ�`^� J <br /> ZOr'ZtiG REVIE�S�%BY: -� �' DATE APPROV�D: ,S'-i �-o� <br /> BL�DTs�iG REVIE�BY: D�.TE APPROYID: � - i-7 -v � <br /> FEES TO BE CH.4RGED: Niisc. Fees Calculated By: <br /> pEg�'r Yes _� No �% <br /> PLAN REVIEW Yes �� No✓� S�TER COiv�ECTION <br /> STATE SURC�iARGE Yes ✓ No ��ATERCONNECTION <br /> �,rVES 1IGATION FEE Yes No PARK F�E <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO\1�G C�CK LIST zoni.n� Dis�icc: �tl-D G lfi�4i�/� _ . <br /> Fire De:z*��nt: Post Ofuce: Sc�ool District: • � � <br /> Lot Area: Sq.ft. Acies � Widch Depch <br /> Surve; Subu..itted: Yes No Date of Survey: <br /> Proposed Setbac!cs: <br /> F,ont (La.ke): Ri;ht Side: � <br /> Rear (Screet}: Left Side: <br /> Adjacent Struccures: �Vedand: • <br /> Buile'�.�; Hei�ht: Def. H�t. Pea'.;H�t. <br /> Loc Cover2�e: <br /> Grad�^g: Stafi Approval Date: gy: Council Approval Da[e: <br /> Septic: Staff Approval Da�e: By: <br /> Zo�� File: n Resolution: n Resolutioa Date: - <br /> Shorel�*�d District: <br /> Av�. Setback: Blufi Setback: LotCo��era�e: <br /> E���� proposed <br /> Hardco�er: 0-7�' <br /> 7�-250' <br /> ti0-500' <br /> 500-1000' — <br /> Hardcover Variance Required: Yes No Dat� of Council AQproval: ___ <br /> REI�L�S�iS (in house): ����-C� �orJ(�-o�"-` ,�,�� �'� � S��'`i�' — <br /> , <br /> 7 <br />