Laserfiche WebLink
' CHBCR OFF LIST FOR ISSIIANCE OF PSRMITS <br /> FOR OFFICE USE ONLY <br /> Annx�ss oR �cxxz,: ��� �r���a►�t �c� PID: 2� � 11 S -�3 �f 3 �`J� ! � <br /> DESCRIPTI ON OF WORR: �e.c.r.� �i-�c.l i ��' ��r ���' <br /> ------------------------------- --------- ----------_-- —--�- ------------ <br /> µ 4 f � �� ' � � <br /> ZONING REVIEW BY: �"�f�'�M� DATE APPROVED. <br /> BIIILDING REVIEW BY: �Qo ��. DATE APPROVED J� 31 �� <br /> ---------------------�—----------------------------------- ---f------------� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: r� �/�A <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTION - <br /> STATE SURCHARGE Yes� No WATER CONNECTION �-- <br /> INVESTIGATION FEE Yes No � PARK FEE �C� v��'."�j f..�- <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) -- <br /> ------------------------------------------------------------------------------ <br /> p �4: <br /> ZONING CHECK LIST Zoning District: _ I�.- <br /> Fire Department: �/J�'� � z Post Office: V��.�c=- School District: ��� / � <br /> , <br /> r-, ,,,-� ' � .. <br /> Lot Area: r�' ���' -+ Width: -- - ` Depth: � <br /> Survey Submitted: Yes� No Date of Survey: ,�� ` ' ' � � �� �"�� � <br /> ("U wt��-��' <br /> Proposed Setbacks : � i r. <br /> �- Front �-e� : � Right Side: � ;�� <br /> �,: Rear (�� : 2�5 / � Left Side: �y / l =-_� <br /> Adjacent Structures : � �" " �� Wetland: ��C� � -�'� '`F � <br /> �n . � ,�, <br /> _ _ _. �, ,�, .�..-,: , <br /> Bui lding Height: Def. Hgt. 2.� � Peak Hgt. �7 ' <br /> Avg. Setback: Lot Coverage: �"`�' <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> � , , <br /> 250-500 ' � <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No�� Dat of Council Approval: -" <br /> � <br /> Grading: Staff Approval Date: ' '" � By;���� Council Approval Date: <br /> . / , ✓ <br /> Septic: Staf f Approval Date:,f�"a�- `�� By:�w� �' <br /> Zoning File: # �— Resolution #: �'— Resolution Date: <br /> REMARKS (in house) : � <br /> _, <br /> �� � -, (���� � �-,�� ���'„ ���<r��,�r �, r f,�. �` � �� <br /> ' � <br /> _ 0 <br />