Laserfiche WebLink
• ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 61 t� C i4�2-��W A <br /> PID: <br /> DESCRIP'�ION OF WORK: —o �^'---------�0 JNOA-'n 0 N ---------------rp--------, - ,v✓ <br /> � <br /> ZO.�i G REVIEW BY: DATE APPROVED: �-lq -�S <br /> BUII.DING REVIEW B : DATE APPROVED: _ r -�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW � Yes _� No SEWF�2 CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: <br /> Fire Department: Post OfFice: School District: <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes bC No Date of Survey: S� �b�•�S� <br /> Proposed Setbacks: <br /> � <br /> Front (Lake): � b' = Right Side: �:3 <br /> Rear(Street): Sa Left Side: ���` <br /> Adjacent Structures: � I� Wetland: �0 � �" <br /> Building Height: Def. Hgt. — Peal:Hgt. <br /> Lot Covera�e: N�J►- <br /> Gradina: Staff Approval Date: 7-�°�•8� By: To,r.�uncil Approval Date: <br /> Septic: Staff Approval Date: nJ �A By: <br /> Zoning File: # '" Resolution: # Resolution Date: <br /> Shoreland District: NJ <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REviARKS (in house): _ <br />