HomeMy WebLinkAbout1989-02-15 Application for Septic PermitCHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL DESCRIPTION: � Co 2
PID: _
DESCRIPTION OF WORE s Atx> t 'n 0 N�
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RaviI BYs z/ ---- ------------DATE APPROVEDs 2 45 r EjC}
NtMLDIDG REVIEW BY s -DATE APPROVED s �. • Z..i - 5-"-f
PERMIT ISSUED BY: DATES
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FBES TO BE CBARGED: Misc. Fees Calculated By:
PERMIT
PLViN REVIE'N
STATE SURCHARGE
PENALTY
SAC
Yes No
Yes ✓ No
Yes No
. Yesz No
Yes Nc. ✓
SEWER 'UNIT
SEWER CONNECTION
WATER CONNECTION
PARR FEE
SITE INSPECTIGN
OTHER (specify)
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=ONIt!<'� CBRCE LIST Zoning District: 4 if - / �------------------ Fire Department: Post Officesr4'�/' School Districts
Lot Area: . Sf A} c { Width:S &S' f Depth: 431 L. , '2
Survey Submitted: Yesx No Date of Survey: 2 4 y - S 5
Proposed Setbacks:
;SFront Fieks)ear (66re") : (rr 5
Adjacent Structures: Wetland:
Existing "ruposed
Right Sides _ ZLIO r
Left Side: J410t
Hardcover: 0-75'
79-250 _ 0k ��. ± ok
.-V >
Hardcover Variance Required: Yes_ No Date of Council Approval:-- --
Grading: Staff Approval Dates Or" By: Council Approval Date:
Septic: Staff Approval Date: 2 -.JS * BY: -�
Zoning Files# Resolution #: Resolution Date:
REMRRES (in house) s E O L. Ac f- / <r PP 77C TAN Ar IN I & ' N W o✓ R p wg+ j i�b
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