Laserfiche WebLink
, CHSCR OFFFORSOFF�CyIUSE ONLYOF P�FtHITS <br /> � /�/ :�'..�tt-w�/� � �-�PID: ::3- � �3 3 c:r� !L� <br /> ADDRES S OR LEGAL: ���� � �� ��� <br /> DESCRIPTI ON OF WORS: ��1���� ���^^'a�- <br /> ---- , ------------------------- <br /> ZONING REVIEW BY: / V �� DATE APPROVED: <br /> BIIII,DING REVIEW BY: ��,,� �lvw�--- _ DA'I'E APPROVED: ► J- �-°I � <br /> -------------------�--------------------------------------------------- <br /> FEES TO BE CHARG�• Misc. Fees Calculated By: <br /> pERMIT Yes I/ No <br /> PLAN REVIEW Yes +� No SEWER CONNECTION <br /> STATE SIIRC3ARGE Yes �No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTfiER (saecify) <br /> ------------------------------------------------ <br /> 2.pu=Nr CgECg L ST Zonin_ Distric;.: <br /> Fire Depart:nen Post Of�ice: Scn 1 Dis�ric�: <br /> Lot Area: Width: ` Depth <br /> ! <br /> Survey Submitt d: Yes No � Date f Survey: <br /> Prc�osed Setb cks <br /> Front ( ke ) % Rign Side : <br /> Rear ( S reet) : �r Le�t Side : <br /> Adjacen Stru tures : � We�� an�: <br /> Building fie� Qht: ef. figt. <br /> ' eak Hgt. <br /> � I <br /> Avg. Setbac : Lot Co erage: <br /> EX1S�� -�J Pi'o CSeQ <br /> � -�_--���-. <br /> Hardcover: 0-75 ' <br /> r <br /> 7 -250 ' <br /> 2 0-500 ' <br /> 50 -1000 ' i <br /> Hardcove Variance R qu ' ed: Ye N Date of C uncil Approval: <br /> Grading: Staff Aapro al Date: By: Coun il Approval Date: <br /> Septic: taff Approva ate: BY� <br /> - Zoning F�le • r Resol �ion � • Res �Iution Date:__ <br /> REMARSS (in house) : <br />