Laserfiche WebLink
<br />ZONING AND Btrti,Dl"NC• CHECKLIST <br />1. Date of receipt of application° ~ _ / 3 ~ ~ ~- <br />2 . Application received by: ~~~ ~ !~ 5 ©~ ~: ~ ~-` <br />3. Applicant° <br />a . Name ~ ~ nr ~0 a ~ ~ o ~ F <br />b . Address 1~~ ~ ~ a 1 a ~u ~ ~~_1~t. <br />O 1 d ,e <br />c. Telephones ~ ~~- j ~ 6 ~-- <br />4. Nature of application (Include case No. if applicable)s <br />r ~ ~' - ~ ~ e . a l ~ ..~ ~..~ ~ r <br /> <br />5. ~ i ~ ee~-• Number of copies received ( ~~) and distributed to. <br />Clerk ( ~) Planner ( ~ ) <br />Building Insp. ( ~) Manager's Office ( ~'~ <br />Engineer ( ,~ ) <br />6. Building Department <br />a. Building Inspection comments (attach additional sheets <br />if necessary)s <br /> <br />Bu?.lding Inspector Date <br />