Laserfiche WebLink
, � CHECK OFF LIST FOR I5SUANCE OF PERMITS . <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 3 l U Rx3r Po,n,-► (��� - <br /> ' PID: <br /> DESCRIPTION OF WORK: S c�x�w �RC N -4-0 �t s�s�� <br /> ----------------------------------------------- --------------------------------------------------------------------- <br /> ' ZONING REVIEW BY� DATE APPROVED: ci • 9 - 9 5 <br /> BUILDING REVIEW BY: DATE APPROVED: Q - S - 5 5 <br /> --------------------------------•------- ------ ---------------------------------- - ------------------------ . <br /> FEES TO BE CHARGF�D: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No ' <br /> PLAN REVIEW Yes �Y No _�� SEWER COrfNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) ' <br /> ------------_---_________________________�______�----------------------------------------------------------- <br /> I <br /> ZONING CHECK LIST Zoning District: N c� ,' <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth ' <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wed d: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> . �, <br /> Zoning File: # Resolution: # Resolution Date: ' <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-10�0' <br /> Hazdcover Variance Reqlured: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />