Laserfiche WebLink
OFFICE USE ONLY DATE RECEIVED: ������i J <br /> CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> / <br /> PROJECT NO. : � j <br /> ,, , <br /> ADDRESS f PID �� //�/- ��� /° ,, ,1; , � <br /> L <br /> ZONING REVIEW BY: , ��Z�� S�� <br /> }'� � i <br /> Zonin District: %�' � � C�-� � G' � <br /> 9 ,�'' � � Lot Area: �` � � <br /> Fire Dept. � ► �... , Width: �,�� � Depth: 2�1 � � ` <br /> ! <br /> Post Office: �/lJ�l�s'`'��. Proposed Setbacks : <br /> Front: Z2 , / � R. Side : E_�,-' ;*��.>c. <br /> Zoning File : # �Z�---� Rear: Z� L. Side:� <br /> � � ..,� �Y�� <br /> Counci 1 Approva 1 : � ` �" -:> ' �� ,� Lake: Wetland: <br /> Resolution; ;��Q� Access : New Existing� <br /> Hardcover: Existing$ : Proposed� : �� <br /> r <br /> Grading: Staf f Approva l Date: �� l r:�-���. Counci 1 Approval Date: '–'—'y <br /> BUILDING REVIEW BY: `[� �� `� � �' � <br /> Estimated Construction Ins ections Required : <br /> Valuation:$_�� J�-�j .�?�.C'� �ooting : <br /> T� �Framing � <br /> Bldg Permit: $ Insulation <br /> State Fee: $ �allboard <br /> Plan Review: $ �inal <br /> SAC: $ Site Inspection <br /> Sewer Unit: $ <br /> Park Fee: $ <br /> Penalty: $ Work Requiring Separate Permits : <br /> Other: $ Plumbing Grading/Filling <br /> ��Mechanical Fire <br /> TOTAL: $ Well Water <br /> Septic Sewer <br /> Fireplace <br /> REVIEW BY OTHERS: <br /> REMARKS TO BE NOTED ON PERMIT: <br />