Laserfiche WebLink
� • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR FFICE U E ONLY <br /> ADDRESS OR LEGAL: ��3 S , �''�.�m <br /> PID: v4�-//�— a3 .�j DD /3 <br /> DESCRIPTION OF WORK: . ��c-e�,� � <br /> ZONING REVIEW BY: DATE APPROVED: (,- S-5 7 <br /> BUILDING REV�W BY: DATE APPROVED: (,-5-9 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes` .✓' No � � . . � <br /> PLAN REVIEW Yes r� No SEWER CONNEC"TION <br /> STATE SUR:HARGE Yes ,/ No WATER COrfNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Q dL-�$ . <br /> Fire Department: �A lur Post Office: l,oni c� School District: p{Lbnr a <br /> Lot Area: Sq.ft. o ` Acres — Width t(l�,G,VtA�2- Depth — <br /> Survey Submitted: Yes �C No Date of Survey: 4��-9'7 <br /> Proposed Setbacks: <br /> Front (Lake): �90� LN Right Side: �b 5� <br /> Rear(Street): �oo� �' Left Side: 1�{� <br /> Adjacent Structures: lirr 1}Gl-kc��(J Wetland: N��'* <br /> Building Height: Def. Hgt. N(A 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 DisL-ict: <br /> �•�� Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vuiance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> • 26 <br />