Laserfiche WebLink
� ' CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI�: Z7 b S }-C��C ST PID: <br /> DESCRIPTION OF WORR: � c� VO l�,a/� ��='�'ViU�CZ - <br /> ---------------------- --------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: 4" Z 8"' S� <br /> BIIILDING REVIEW BY: �3 DATE APPROVED: q� L£c�Sr3 <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW 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 /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: 22-) (� <br /> Fire Department: � Post Office : �.�' l.A�fi.f SchooZ District: ���t�on�a <br /> Lot Area:�,�,,o�z 4_3 .��cs wiath: 3�s.v� � Depth: �S FS . � y <br /> Survey Submitted: Yes X No Date of Survey: /l�Z�f-�6 <br /> Proposed Setbacks : � <br /> Front (�e) : /V�/� Right Side: /yS t�'�� <br /> Rear (Stre�et) : Z�C=� -�_ Lef t Side: N w <br /> Adjacent Structures: Z�� �I-� S� Wetland: N�i'3 <br /> Bui�ding Height: Def. Hgt. EX�5TIN6 Peak Hgt. <br /> Avg. Setbac : Lo Coverage: <br /> Existi g roposed <br /> i <br /> Hardcover: 0- 5 ' <br /> 75-25 ' <br /> 2 0-500 <br /> 50 -1000 ' ; <br /> t <br /> Hardcover Varianc Require : Yes No l�ate of Co ncil Approval: <br /> / <br /> Grading: Staff App val Da e: By: �'� Counc 1 Approval Date: <br /> _.---- <br /> Septic: St ff Approv 1 Dat : y= <br /> Zoning Fi� : # Resolutio # : Resol. tion Date: <br /> ; <br /> REMARRS (i house) : �� <br /> r <br /> � y! <br />