Laserfiche WebLink
- - • � - - <br /> CHECY OFFFORSOFFI�CEIUSE ONLYOF PERMITS <br /> ADDR$SS OR LEGAL: ��lJ� ��1/��j �/Yi (/�- PID: Q � - ��� "�.3 y( DO�-�I <br /> DESCRIPTION OF WORR: ��Y-�(�`��� �C�r�9�' <br /> -------------------�------------------ ---------------- 3 - ti <br /> ZONING REVIEW BY� — DATE APPROVED: Ci - 1 �1 <br /> BIIILDING REVIEW BY: d��„Q`� DATE APPROVED 1 GJ 1 <br /> -------------------�=-------------------------------�--3----------------- <br /> FEES TO BE CHARGSD: 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 � SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: /1���. <br /> Fire Department: t Offi S .0�1'-6istrict: _ <br /> � / <br /> Lot Area: wi D P <br /> Survey Submitted: Yes� No Date of Survey: 7 � Z�'"g� <br /> Proposed Setbacks : <br /> Front (�e-� : �j 0 � �+�' Right Side: �D� 'f' <br /> Rear (Street) : �1 C�� t Left Side: ( 2� <br /> Adjacent Structures : � (� �--�c CK Wetland: /U�/9 <br /> � <br /> Building Height: Def. Hgt. � 3 � Peak Hgt. �b <br /> Avg. Setback: /�/ �� Lot Coverage: /l��/4 <br /> Existing Proposed <br /> Hardcover: 0-75 ' /V�A' " <br /> 75-250 ' N�l4 <br /> 250-500 ' I 3�5�� 1�, �,� °1a <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />