Laserfiche WebLink
CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> ' � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '3S��S ��� p�''A"� PID: <br /> C <br /> DESCRIPTION OF WORK: �V CI�J K �Tc-�-�e^� <br /> -------------------------------- <br /> ZONING REVIEW BY: /U �/q- DATS APPROVED: <br /> BIIILDING REVIEW BY: �J���- DATS APPROVED: Q 'I � ' S � <br /> ------------------ ------- <br /> FEES TO BE CHARGF.D: Misc. Fees Calculated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes��/�No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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 CHECR LIST Zoning District: <br /> Fire Degartment: Post Office: Schoo istrict: <br /> Lot Area: Width: Depth: <br /> Survey Submitte Yes No D e of urvey: <br /> Proposed Setba k : <br /> Front (La e) • ight S de: <br /> Rear (St eet : Left S de: <br /> Adjacen Stru tures: Wetl nd: <br /> Buil�ding He' ght: f. Hgt. P ak Hgt. <br /> Avg. Setbac : Lot Cov rage: <br /> Existing Prop sed <br /> Hardcover: 0-75 ' <br /> 5-250 ' <br /> 50-500 ' <br /> 5 0-1000 ' <br /> Hardcov r Variance R uir d: Yes Date of Council A rova�: <br /> Grading: Staff Approv I. D te: By: Council Appro al Date: <br /> Septic Staff Approva D te: $Y= <br /> Zaning FiJ.e:# Resoluti #: Resol.ution D te: <br /> REMARRS (in house) : - <br /> I <br /> � <br />