Laserfiche WebLink
wip, �.- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 366 ",// - L_,c'`L - PID: / -// 7"-- 3 ((/ 6O ' <br /> DESCRIPTION OF WORK: ;; <'i ,a'�ti--c — iN 7 )C#Ott 0/V <br /> Cil <br /> ZONING REVIEW BY: /`/4DATE APPROVED: <br /> BUILDING REVIEW BY: 'C) (0/YhOLDATE APPROVED: 3 - 0-43 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMITYes �No <br /> PLAN REVIEW Yes 1./.-No--- SEWER CONNECTION <br /> STATE SURCHARGE Yes L/- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No i---' PARK FEE <br /> SAC Yes Noir SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoni g istrict: <br /> Fire Department: i Post Office. Schq .l District: <br /> Lot Area: A Width: Depth <br /> Survey Submitted: Y:s No Dat- of Survey: <br /> Proposed Setbacks <br /> Front (Lake) R' ght -ide: <br /> Rear (Stree , ) : eft -ide: <br /> Adjacent S •ruct ,res: Wet and: <br /> Building Height De . Hgt. 'eak Hgt. <br /> Avg. Setback: Lot Co erage: <br /> xisting Pro•,osed <br /> Hardcover: 0- 5 ' <br /> 75- ,50 ' <br /> 250 500 ' <br /> 500- 000 ' 11111r , <br /> Hardcover ariance l•eq red: Yes No Date of C uncil Approval: <br /> Grading: '.taff Appiov- 1 Date By: Coun it Approval Date: <br /> Septic: aff Appr •v=l Date By: <br /> 1 <br /> Zoning F le:# R: soluti n # : Res lution Date: <br /> REMARKS (in house) : <br />