Laserfiche WebLink
c I � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2°t c� (-�v l ��^ <br /> PID: <br /> DESCRIPTION OF WORK: (��Pv�^�� �vv�s 1-� <br /> -------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: iv(ii <br /> BUILDING REVIEW BY: DATE APPROVED: 8-t+•- ��• <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SUR^HARCr� Yes `� No WATERCONNECTTON <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _---________----------_----------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: � chool District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitte : Yes No Da of S ey: <br /> Proposed Setba <br /> Front e): . Right Side: <br /> Rear Stre t): Left ide: <br /> Adj ent St ctures: Wetlan : <br /> Building He' t: De . Hgt. Peak gt. <br /> Lot Cover e• - <br /> Grading: taff Appro al Dat : Coun ' Approval Date: <br /> Septic: ff Approval Date: y: <br /> Zoning ile: # Resolution # Resolution Date <br /> Shorel d DisL ict: _ <br /> Avg. Setback: uff Set ack: Lot Coverage: <br /> zisting roposed <br /> Hardcover: 0-7 ' <br /> 75- 50' <br /> 5 500' <br /> 5 -1000' ' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> . 26 <br />