Laserfiche WebLink
� CHEC�i, OFF LIST FOR ISSUA�'CE OF PERi.1�S�T'S <br /> _ FOR OFFICE USE OivL.Y . . - ' . <br /> ADDRESS OR LEGAL: 31 t to L � V/N G�Tt�� <br /> PID: <br /> AESCR�'I70N OF�ORK: N �.. t� i'2�S — <br /> . <br /> Z OYL\'G RE'STIE�BY: D�TE APPROV�D: S- 9 - �t � <br /> BUTLD1iti'G REV7�'4Y BY: �- . D�.TE APPROY.ID: S-g -�t . <br /> FEES 7'O BE CH.4RGED: i�iisc. Fees Calculated By:� � ' � <br /> PERMIT Yes �/' No ' � � :. <br /> PLAN REVIEW Yes '� No SE�TER COYNEC'I ION _ <br /> STATE SURCHARGE Yes � I�'o �ATERCONNEG"ITON <br /> L�i,'VE,STIGATION FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECZTON <br /> Number of SAC•Units 1 OTHER (specify) <br /> zOti�tG CHE.CK LIST zonin;Districr. LR -1 G- I <br /> Fire Dcpartmenr tM���rr� Post Ofuce• W A�-/7.�� School District: t�-=�ST'o N 1�4- • <br /> Lot Area: Sq.ft. 1�''1 Zo Acies ,�`-{ � R'idch 3�_ Depth (o'-{ <br /> Surve;Sub�itted: Yes o� No Date of Survey: Y•�" d � <br /> Proposed Setbac!cs: . � � <br /> Froat(La.ke): �5 Rirht Side: ' � � <br /> Rear(Screet): � � I.efr Sidz: I � _ <br /> Adjacent Strucmres: ,¢�c.f��J �Vedxae�: N I/} • <br /> Buildin;Hei�ht: Def. H�t. _ Q. 4� Pe��H,t. (9 .<< <br /> Loc Coverage: N�� � <br /> Gradin�: S�afc Approval Date: _ 0� (.�-. By: /"-"• Council Approval Date: —' <br /> Septic: Staff Approval Date: /✓ //� By: <br /> Zoo„in�File: � — Resolution: � Resolutioa Date: . . <br /> Shoceland District: — � <br /> Av�. Secback: Blufi Secback: I.otCo�en�e: <br /> E���� proposed <br /> Hardcover: 0-75' . <br /> 75-250' <br /> ti0-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes No _ Date of Council Aoproval: � <br /> gEI�IA.RbS (in house): <br /> 7 <br />