Laserfiche WebLink
. � CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> . <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (Z�IO F��K C'��� �� PID' <br /> D$SCRIPTION OF WORR: �1 NISI'� � <br /> -------------------------------- <br /> ZONING REVIEW BY: /J�/4' DATE APPR0�7$D: <br /> BIIILDING REVIEW BY: <br /> DATS APPROVED: �' � 3- �K <br /> FEES TO BE CHARGF.D: Misc. Fees Ca�culated By: <br /> PERMIT Yes (� No <br /> PLAN REVIEW Yes—� No SEWER CONNECTION <br /> STATE SURCHARGE Yes (/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No-�� PARR FEE <br /> SAC Yes No�� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> ZONING CHECK LIST Zoning D strict: <br /> Fire Departmen • Post Office: Sch'o 1 District: <br /> Lot Area: Width: Depth: <br /> � <br /> ^ Survey Submitt d: Yes No J�ate of Sur ey: <br /> Proposed Setba s <br /> � Front (Lak ) • iRight Side• <br /> Rear (Stre t) J Left Side <br /> Adjacent S ru tures : Wetl�nd: <br /> Building Height: D f . Hgt. Pe�ak Hgt. <br /> J E <br /> Avg. Setback: � L Cove,�age: � <br /> Existing � Propos�ed _ <br /> � <br /> Hardcover: 0-7 ' � <br /> 75-25 ' � <br /> 250-50 ' ' <br /> � <br /> 500-100 ' � <br /> Hardcover Vari nce Req ired Yes No�'I Date of Coun ' 1 Approval: <br /> / <br /> Grading: Staff pproval. Dat : By: Council pprova� Date: <br /> Septic: Staff proval D te i By: <br /> Zoning File:# solution #: Resol.uti n Date: <br /> REMARKS (in house) : <br />