Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 7 y l� SNArJW W a�� �'��� <br /> PID: <br /> DESCRIPTION OF WORK: S c n.�.z-�v r-_ni c,ws-�► e�► �e x �s r�iv t� ,p�c�c <br /> ZONING REVIEW BY: DATE APPROVED: �. Z.o•49 <br /> BUII.DING REVIEW BY: DATE APPROVEDs -1 ��zo•9q <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Yes v' No SEWFR CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECT'ION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: L�2•/L <br /> Fire Department: /���v✓� Post Office: w,4�-t_A-;'r�1 School Disuict: t.�•�S70ivX-4 <br /> Lot Area: Sq.ft. Zc��Z Sb Acres ,`l(. W idth I 2 2..$ Depth / 7� � � <br /> Survey Submitted: Yes_� No Date of Survey: '7-�9 • 4�� <br /> Proposed Setbacks: � <br /> Front(Lake): 55� "� Right Side: GO � <br /> Reaz(Street): 53� t Left Side: `1^7� � <br /> Adjacent Structures: A��TT'�"��+�e� Wetland: /�J/A <br /> Building Height: Def. Hgt. o� �� Peak Hgt. '! <br /> Lot Coverage: p. (L. <br /> Grading: Staff Approval Date: -- By: -- Council Approval Date: <br /> Septic: Staff Approval Date: --- BY� " <br /> Zoning File: �i Z`�t R9 Resolution: # Resolution Date: 1-�Z- `�g <br /> Shoreland District: v�4-R.��r/t.� <br /> Avg: Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' Z�'� /UU C l�f� <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes .� No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />