Laserfiche WebLink
�. CHECK OFF LIST FOR ISSUA�.�TCE OF PERl�'TITS <br />. _ FOR OFFICE USE ONLY , � . <br /> ADDRESS ORLEGAL: Z 1'S ►� c��-�. F1^�✓�{z- (1-0/� <br /> PID: <br /> DESCR�Z'ION OF�ORK: F�„,<i+ (��sDs^^ =��� <br /> . <br /> ZO�'G REVIEti�BY: /V//� DATE APPROV�D: <br /> BUILDP�TG REVIE�BY: „�� . . DATE APPROYF�: 3- 2 S-��i . <br /> F'EES TO BE CH.4RGED: biisc. Fees Calculated By: <br /> � PERMIT Yes �/ No :� <br /> pI,�,Ti REVIEW Yes �/ No SEWF.R CO�tNECTION _ <br /> STATE SURCHARGE Yes_�� No WATEEtCONNECI'ION _ <br /> II�,TVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZO\�tG CHE.CK LIST zonin;Districc: No 01��.� _ . <br /> Fire Deparcment: Post Office: School District: • � � <br /> Lot Area: ,Sq.ft. Acres � Widch Depth _ <br /> Surve; Subritted: Yes No Date of Survey: <br /> Proposed Setbacks` � <br /> F.ont(La..ke): Riaht Side: <br /> Rear (Screet): Left Side: <br /> Adjacent Structures: �Vetl d: • <br /> guildin� Hei?hc: Def. H�t. Pea�: gt. <br /> Lot Covera;e: <br /> Gradin�: Stafi Approval Date: gy; Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoai.ng File: � Resolution: � Resolution Date: . <br /> Shoceland District: <br /> Av�. Setback: Blufi Setbaek: LotCocen�e: <br /> E���? Proposed <br /> Hardcover: 0-75' <br /> 75-250' - <br /> zsasoo� <br /> 500-1000' - <br /> Hardcover Variance Required: Yes No Date of Couacil Aoproval: <br /> REI�IAR�;S (in house): <br /> 7 <br />