Laserfiche WebLink
CHECK OFF LXST�'OR ISSUANCE OF PE1ti1�iITS <br /> • � FOR OFFICE USE ONLY <br /> ' _ ADDRESS OR LEGAL: _ . I 3�25 tZ�s-r �p c�i nc T' C2.�o,�.-� . <br /> PID: � <br /> DESCRIPTION OF WORK: �,A Rv��C. . � <br /> ZO�tING REV1E`�BY: � � _ DATE APPROVED: a- t-�,g ~ <br /> BUIL,,DING REVIEW BY: � DATE APPROVED: �i -! - 9 43 <br /> � � __-----_ ____----�-- � _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � <br /> PERNIIT �Yes ✓ No . <br /> PLAN REV�W Yes ✓' No SEWER C0�1NECiTON <br /> STATE SUR�HA.�G� Yes �/ No WATER CONNECTION <br /> I]:vVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC'ITON <br /> Number of SAC Units � OTHER (specify) � <br /> -- --------------- _ <br /> ZOYING CHECK Y,IST zoning Districc: L2-/Q � <br /> Fire Departmenr. ��Jn�� Post Office: ��nr /J School District; ��57-pnik.�. . <br /> Lot Area: Sq.ft._ t y.�,�,3 Acres , 33 Width 12Q,t�c1��C. Depth .- <br /> Survey Submitted: Yes_� No Date of Survey: <br /> Proposed Setbacks: <br /> Froat (La.ke): , l�15� - Rig�t Side: ly� <br /> Rear(Street): 1�� � Left Side: y 0' <br /> Adjacent Structures: _ 1b' Wetland: rU(I� <br /> BuiIding Height: Def. Hgt. (9.K Peak Hgt. O� k <br /> Lot Coverage: _ �. �c. <br /> Gradi.ng: Staff Approval Date: a:� -q g . By: �_ Council Approval Date: /✓/!4 <br /> Septic: Staff Approval Date: � /V (/3 By; � . <br /> Zoning File: # 2 9 U _ Resolution:� ��y� Resolution Date:� . $-2`� �9� • <br /> Shoreland Dis�rict: v�r5 ' � <br /> Avg. Setback: N(�} Bluff Setback: �!I/a- Lot Coverage: !v � <br /> � E��S Proposed � � <br /> Hardcover: 0-75' <br /> 75-250' . . ZS,q . . <br /> 250-500' . . . <br /> 500-1000' <br /> _ Hazdcover Vaziance Required: Yes y� No Date of Council Approval• Q`-2`t -�t� <br /> . . � <br /> RENIARKS('in house): � <br /> . a ,. ' . <br /> ' �' 26 <br /> . ��A-,; . . <br />