Laserfiche WebLink
� •-, � <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: �l�1� S N+�r'J'H'�uv o'tJ �-�='�i� <br /> PID: <br /> DESCRIPTION OF WORK: ��K t3PcAC�v�� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ,•� <br /> ZONING REVIEW BY: � �' �k�..,-- DATE APPROVED: '7- !' S'�F <br /> BUILDING REVIEW BY: -� ;� ���� DATE APPROVED: 7- 1 - �r� <br /> --------------------------------------------d -------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes �i'' No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) , <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: F <br /> Fire Department: y'��>>a.�,N'+L) Post Office: ;,,�s��'f�-�� School District: �-!��'�+'� <br /> Lot Area: Sq.ft. �1,�C GIJ�i�-�Acres Width Depth <br /> :! <br /> Survey Submitted: Yes +� No Date of Survey: c��� ���� 3 ��y -�� <br /> Proposed Setbacks: � <br /> ..F+Fe�t (Lake): `�S � Right Side: j l7� <br /> 1 c <br /> ReR� (Street): �'� � Left Side: �� <br /> Adjacent Structures: �T'r�c.t4�� Wetland: !'� r•� " <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> L.ot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> �� Zoning File: # Resolution: # Resolution Date: <br /> '�L, <br /> �'-� Shoreland District: <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 Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />