Laserfiche WebLink
. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: (3`a� lZ�ST r�a��t► (�� <br /> PID: <br /> DESCRIPTION OF WORK: ,/�,�,r�, �-,a�, <br /> Z0�1I1�TG REVIEW BY: DATE APPROVED: 3-zz-o z <br /> BUII.DING REV�W B : DATE APPROVED; 3 .zz-�,Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes __� No <br /> PLAN REVIEW Yes � No SEOVER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ►/� PARK FEE <br /> SAC Yes No ,� SI'fEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CK LIST zoning Districc: (,2-I/� . <br /> Fire Department: W�,o�,�,�/� Post Office: ��,�,� School District: �,v c,—s,—o,v�u. <br /> LotArea: Sq:ft. �a� 2�1.'� Acres • 'L3 Width �S Depth /.SSd•Y� <br /> Survey Submitted: Yes�_ No Date of Survey: t�- 3—O I <br /> Proposed Setbacks: _ <br /> Front(Lake): � ION Right Side: 3�1� <br /> Reaz(Street): � �I l•1 Left Side: �� <br /> Adjacent Structures: q�x� Wetland: N L A <br /> Building Height: Def. Hgt. c9.(�. Peal:Hgt. l��l� <br /> Lot Coverage: �`'�•L <br /> � <br /> Grading: Staff Approval Date: PP.�vA�ruG �PJZ �y: Council Approval Date: <br /> Septic: Staff Approval Date: /1!' � �4 By: <br /> Zoning File: # DI-26 91 Resolution: # Resolution Date: �-Z 5-��- <br /> Shoreland District: v,�5 <br /> Avg. Setback N f/� Bluff Setback: ��/a- Lot Coverage: ��{•(o <br /> T— Eaisting Proposed <br /> Hazdcover: 0-75' �{.Nt ' 2.5 <br /> 75-250' SZ• 5�(•c. <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_�, No Date of Council Approval: Z- 2�- a Z <br /> REMARKS(in house): <br /> 7 <br />