Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 310�-10 �'���3.� Yv�� ��- <br /> PID: <br /> DESCRIPTION OF WORK: N G w 2.�,5 <br /> ---------------------------------------:---------�--��- <br /> ZO�TG REVIE`V BY: � DATE APPROVED• 7 2 - <br /> BUII.DPIG REVIE`V BY: DATE APPROVED: -�-z�- �y <br /> FEES TO BE CFIA.RGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes � No <br /> PLAl�t REVIEW Yes ✓' No SEWF�CO�]NECTION <br /> STATE SURCHARGE Yes �� No WATERCONNECI'ION <br /> INVESTIGATION FEE � Yes No ✓ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC�Units �,�.Rc� OTHER (specify) <br /> ZOYING CH�CK LIST Zoaino District: . <br /> Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres � Widch Depch <br /> Survey Submitted: Yes_� No Date of Survey: 7-�S'v`'f <br /> Progosed Setbacks: <br /> Front(Lake): ►O O' Right Side: �I!0 <br /> Reaz(Street): 200� Left Side: 1310.2 <br /> Adjacent Structures: N ��q- Wetland: `,5� :' <br /> Building Hei�ht: Def. Hgt. 3a Peal:Hgt. �g <br /> Lot Coveraae: nl (I� <br /> Grading: Staff Approval Date: �'i- Z7 -o� By: -��- Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # -- Resolution: !� Resolution Date: � <br /> Shoreland District: N J <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> E�cistine Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />