Laserfiche WebLink
.� • " CgECX OFF LIST FOFL ISS�A�'10E OF PF.R�'iI`Z'S <br /> � FQP. OFFICE USE ONLY <br /> ADDRESS OR I�EGAL: ZS� =. j') '` <- �� PID- <br /> rJESCRIPTION OF WOR.R: I��w I�`�=-= - <br /> ------------------------�------ <br /> ----------------- ��L_ <br /> ZONING REVIEW BY:_ DATE APPROVED: �v - I� - <br /> � �� ,", �- I � - �^� <br /> BIIII,DING RL�TIEW BY: , � u,��_ DAT$ APPROVED: .� <br /> -------------------- <br /> --- -�--------------- <br /> --------------------- <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes�No <br /> PLAN REVIEW Yes� No SErrTER CONNECTION <br /> STATE SURCAARGE Yes t��" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC IInits OTHER ( specify) <br /> ------------------------c-------- <br /> ------------------- � <br /> ZONING CHECR LIST Zoning District: (� l`� �t� <br /> F�re Depart'nent: ^ <br /> ,�C Post Offices :`c�n. ���'` �-� School Distric�: �('�n�i� <br /> � , <br /> Lot Area: ? ' �%i't . <br /> -� Width:�_Z3 -� Depth: ��� o-� � � <br /> Survey Submitted: Yes p� <br /> No Date of Survey: I � ' 2 <br /> Proposed Setbacks: , ' ± <br /> F.ron4 (�"�) • S I Right Side: ( 3Ub <br /> Rear (Street7 : � Ob -F Left Side: I 1; �'` <br /> Adjacent Structures : rl � Wetland :_�7 <br /> Building Height: Def . Hgt. zS � S�� <br /> Peak Hgt._ 3Z � <br /> Avg. Se�back: /ll�lf� Lot Coverage: N�� <br /> Existing Proposed <br /> � <br /> Hardcover: 0-75 ' . � - <br /> ' ) <br /> 75-250 ' ; I R�`� <br /> 1 <br /> � <br /> 250-500 ' _ � � ' <br /> , <br /> ; <br /> ; / � � <br /> 500-I000 ' <br /> Hardcover Variance Required: Yes No� <br /> Date of Council Approva�.: <br /> Grading: Staff Approval Date: n� C4-`-�1 BY= cp;J Counc.il Approval. Date: <br /> � � , �, z By: S,�J . <br /> Septic: Staff Approval. Date: `G- � <br /> /(�`�S Reso�ution # - z-`?r���j Resol.ution Date: "7 z�- !'� <br /> Zoning File.� _ <br /> �F.A�tARK$ (in house) : � <br />