Laserfiche WebLink
� " <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE U�SE ONLY <br /> ADDRESS OR LEGAL: � 3`�� ���% ���: ��-t �',2 �k�. <br /> PID: <br /> DESCRIPTION OF WORK: ��-�c�= , --p��_,.,�.�'t ��;� -�,�.-� �.�,�a-c� -�-5�n;n�_� <br /> ------------------------------------- --------- - ----------------------------------------------------------v--�- <br /> ZONING REVIEW BY: ��� DATE APPROVED: G 3 t <br /> BUILDING REVIEW BY: ,!) `, ' DATE APPROVED: <br /> FEES TO BE CI��iTED: Misc. Fees Calculated By: <br /> PERMIT Yes <�' No <br /> PLAN REVIEW Yes ri' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONII�IG CHECK LIST Zoning District: �z.v C_��� <br /> Fire Department: Post Of ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): R ght Side: <br /> Rear (Streetl� ft Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Blu f Setback: Lot Coverage: <br /> Ex' ting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />