Laserfiche WebLink
CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> . • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI,: �,2 v2 :� C' �i4�,,�-�� �/t���.� �-C�� PID: /G - �/7 - �C '� 3:�l - o o<_%� <br /> //" , 1 -� <br /> DESCRIPTION OF WORR: /�%i�'�-t�-�-� - .�� f , =� , ��� _� �-_l? �r � ,a��cJ�-r�� �i����v <br /> -------------------------------------------- -------_------------ -------------- <br /> ZONING REVIEW BY:��,�. ��-- DATE APPROVED <br /> BIIILDING REVIEW BY: �o DATE APPROVED: /2-3 - `\1 Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f/ PARK FEE <br /> SAC Yes No •/ SITE INSPECTION <br /> Number of SAC Units OTHER ( specify) <br /> ------------------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: <br /> Fire Department: � Post Office: SchooJ. District: <br /> Lot Area: Width: Depth: ' <br /> Survey Submitted: /Ye No Date of Survey: <br /> i � <br /> Proposed Setbacks: <br /> Front (Lake : � Right Sid�: <br /> Rear (Stre$t) : � Left Side: <br /> ; <br /> � <br /> Adjacent S�'tructur�s: Wetland: <br /> I <br /> Building Heigh : Def . �Hgt. / Peak Hgt. <br /> � <br /> Avg. Setback: Lot Coverage: <br /> Exiisting Proposed <br /> � J <br /> Hardcover: 0�75 ' � � i`� <br /> 75�250 ' ���i '� � <br /> 250 � 500 ' <br /> � <br /> 500 1000 ' i � <br /> Hardcover ariance Requ� re : Yes No Date of Council Approva� : <br /> ,' � <br /> Grading: �taff Approval� Da e: By: Counci� Approval. Date: <br /> 1 � , '. <br /> Septi c: S�taf f Approva]� �a�e: By• <br /> . ____....__- <br /> _____--- <br /> ---_ <br /> Zoning F��e: # I'��Resolution # : Resolution Date: <br /> , <br /> REMARICS '(in house) : QI��w�N,Do�.J 5�6Acc�s C'�. � <br />