Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: G,/S ()/ CM,124 41/1 ' " PID: <br /> DESCRIPTION OF WORK: /,/ GIC. <br /> ZONING REVIEW BY: 65DATE APPROVED: - 1 Z-4`f <br /> BUILDING REVIEW BY: 09(404._ DATE APPROVED: 9- 12 - i Y <br /> rELiS TO BE CHARGED: <br /> Misc. Fees Calculated By:PERMIT Yes [//No <br /> PLAN REVIEW Yes C/"jsIo SEWER CONNECTION <br /> STATE SURCHARGE Yes G/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 CHECK LIST Zoning District: 4.R.- /4 <br /> Fire Department: Post is : cho District: <br /> Lot Area: idth: e <br /> Survey Submitted: Yes dC. No Date of Survey: ' <br /> Proposed Setbacks: <br /> Front (10ee-) : /ljf' Right Side: 075 <br /> {kp� Left Side: 2S' t <br /> Rear (Street) : <br /> Adjacent Structures: A-777Vc4610 Wetland: AIM <br /> Building Height: Def . Hgt. A/ 7/7- Peak Hgt. -Avg. Setback: 4 of Co erage: , <br /> E sting Pro..sed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varia ce Required Yes No Date of Council Approval: <br /> Grading: Staff Approva D- e: B • : Council Aperoval Date: <br /> Septic: Staff Approval D-•te: By: <br /> Zoning File:# Resolu •io #: Resolutio Date: <br /> REMARKS (in house) : <br /> s <br />