Laserfiche WebLink
CHECR OFF LIST FOR ISSIIANCE OF PEItMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRfiSS' OR Z�EGAL: � ��3 O�" :�t.'�`2:TI-�t�..�-.f'�2� PID: _ --_._..._._ _ .,..�- _ - <br /> _ , .. <br /> _ ,.. . :: _ :.._ . . <br /> - --:-. . : -. _ <br /> �ESCRIPTION OF WORK: ��� S TO�R-'�1 �Tv�z.Ui1 c'�/� . <br /> ZONING REVIEW BY.---- ----- -------- '-DATE "APPROVED:--- � -{ �i• - ' J-- -- --- <br /> _ . :. _ '_DATS .APPROVED: �"~�Z � - <br /> _ .._ _ = � - _. <br /> BUILDING REVIEW BY: �_ _ � <br /> ------------------------ ------ <br /> FEES TO BE CHARGF.D: � Misc. Fees Ca].culated By: <br /> PERMIT Yes fNo <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 /> ZONING CHECR LIST -----------------Zoning District• L/Z._1L� ------------- <br /> Fire Department: t'V� Post Office:�»rJd SchooZ District:1/li��}�vc� <br /> Lot Area: N(� Width: � Depth: � <br /> Survey Submitted: Yes� No Date of Survey: S� �`�- �1"� <br /> Proposed Setbacks: , i <br /> Front (Lake) : 35 Right Side: �J <br /> , � <br /> Rear (Street) : �V�` Lef t Side: 13 <br /> Adjacent Structures: /1/�� Wetland: /l��/'� <br /> r <br /> BuiJ.ding Height: Def. Hgt. Z 1• S Peak Hgt. 2� <br /> Avg. Setback: ��/'� Lot Coverage: N C <br /> Existing Proposed <br /> Hardcover: 0-75 ' . <br /> 75-250 ' <br /> �- �• <br /> 250-500 ' <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:�f�" BY= <br /> Zoning File:# � //� Resolution � : �- Resol.ution Date: ^ <br /> RF.MARKS (in house) : <br />