Laserfiche WebLink
CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> �� FOR OFFICE USE ONLY <br /> ADDRESS OR LE�AI,: 1�-1�i�` C...:rst� ` ►�t=L ��-`�r) PID: <br /> :�SCRSPTION OF WORR: ��v c� �'i��'" rJ ol,tl i �i�.�: -t- t��-r�.�r��.-ti <br /> .-------------------�-------- <br /> -------------------- � � � <br /> 30NING REVIEW BY:_ � ti , DAZ'E APPROV�: ' _ <br /> . �, 4 K.:� _ <br /> �) � .. . �. <br /> BIIILDING RE�TIEW BY: '�"..l ;.��' i,�..._.` DATS APPRO�TED: t - I Z '`� �,---- <br /> -----------------------� ------------------------------------------------------ <br /> FEES TO BE C�1iRGED• Misc. Fees Ca�cul.ated By: <br /> PERMIT Yes �� No � <br /> PI,AN REVIEW Yes��No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f PARR FEE <br /> G�C ' Yes No �/� SITE INSPECTION <br /> �:imber of SAC Units OTHER (specify) <br /> ----------------------------- L� � <br /> _--------------------- . <br /> ZONING CHECR LIST Zoning District '- /� <br /> �ire Department: (r•.^r=c� ���K-�Post Office: '�rc.t:, Schoo� District: C:'�'�����:� <br /> _ot Area: 5 Z s�� `� Width: i �S� `a ,4.�1 Depth: 7�� -� �' _ <br /> urvey Submitted: Yes � No Date of Survey: (� 5 � �,�3 <br /> ?roposed Setbacks: , <br /> Front (Lake) : 3 5 �� Right Side: E�' '�� i <br /> Rear (Street) : �: �� Left Side: �:...; �+u�Ui <br /> Adjacent Structures: Wetland: <br /> 3uilding Height: Def. Hgt. � � �� Peak Hgt. � � L <br /> Avg. Setback: �,�' /�� Lot Coverage: j�.��ll� <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 Appronal: <br /> Grading: Staff Approval ate: By: Counc' App oval Date: <br /> Septic: Staff Approva D te: BY= <br /> Zoning File:� Reso tion � : � Reso�u ion Date: <br /> RF�ARK$ (in ho e) : � --- <br /> , , <br /> : <br /> / <br /> � <br /> / <br />