Laserfiche WebLink
� - CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRRSS OR LEGAL: �oC�O C.1 V 11N G SZU N /g'v�PID: <br /> DESCRIPTION OF WORR: 3 S CPtS 0►'J Po�-�-("� <br /> -------------------- <br /> ----------------------------------------_-`'----- <br /> ZONING REVIEW BY: DATE APPROVED: G'l7 y <br /> BIIILDING REVIEW BY:__�� DATE APPROVED C� � 7 !S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes �� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No c/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------- <br /> ZONING CHECR LIST Zoning District: L�-►G• ) <br /> Fire Department: t O ' c : ch� District: <br /> Lot Area: 53L h: D t <br /> Survey Submitted: Yes� No Date of Survey: �(-/d-g'�? <br /> Proposed Setbacks: � ��� <br /> Front (�) : �7 Right Side: <br /> Rear (Street) : ( � �� Left Side: Z� � <br /> Adjacent Structures : �7'%�}C�1-S�C��� �letland: /v�/-� <br /> Bui�.ding Height: Def . Hgt. (� .j� Peak Hgt. C�•�. <br /> Avg. Setback• �I J �C}- Lot Coverage: d•� �r.R �0.03 5��0 �y G <br /> Existing Proposed ly `b s� r t�•r cA�.e.� <br /> Hardcover: 0-75 ' — <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Variance Requi d: es No Dat o Council Approva�: <br /> Grading: Staff Approva t : By: unciJ� ApprovaJ. Date: <br /> �- <br /> Septic: Staff Approv 1. e: Y= <br /> Zoning File• # ResoJ.ution # • Resol.ution Date: <br /> RF.MARKS (in•house) : �Lt,rY�c� '�f� � <br /> �� � �f����� <br />