Laserfiche WebLink
. CHECK OFF LIST FOR ISSIIANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��S (�ik �` ��'`'7 ��-�' PID: <br /> DESCRIPTION OF WORR: ��=Yvw�� L t r'r �U� S(�� f_�J'-�5,���v� - C� � �.� �`+ c.�iC F'1,�..E.S <br /> ------------------------- ----------------------------------------------------- <br /> ZONING REVIEW BY: ' 1�t DATE APPROVED: Cj- Z-� ` `� � <br /> BIIILDING REVIEW BY: ✓ � i,,«.—_- DAT$ APPROVED: C'j �- Z� � � <br /> FEES TO BE CHARGED: ` Misc. Fees Ca�culated 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 f� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------- <br /> ZONING CHECR LIST Zo 'T�g Di trict: _ <br /> ,.`— <br /> Fire Department: � Pos�t Of f ' ce: S oo Di str' c�- <br /> � f �� <br /> , <br /> Lot Area: id De h: <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: , <br /> �orrt (Lake) : 'Z-P"�v � Right Side: [,q c� -t- � <br /> --�ar-{Street) : �(�4 Left Side: �� f� l�� <br /> Adjacent Structures: �-��`��-� Wetland: �/��1� <br /> Building Height: Def. Hgt. (i • �C _ Peak Hgt. <br /> Avg. Setback: (���C �'��1 ��2Dt�ko�� Lot Coverage: �% � ��. <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' ,r <br /> � . � <br /> 250-500 ` <br /> 500-1000 ' <br /> Hardcover Variance Requi d: Yes No Date f ouncil Approval: <br /> Grading: Staff Approval ate: By: Co ncil Approval Date: <br /> Septic: Staf f ApprovaJ. ate: ' BY� <br /> Zoning File:# Res lution e �on Date: <br /> REMARKS (in house) - �/ <br />