Laserfiche WebLink
t � • � � � ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L �33 S 5l�rJ� w o c�✓J ��D <br /> PID: a- r����5 <br /> DESCRIPTION OF WORK: �A R�6�=.T iq O D �� � <br /> � <br /> ZONING REVIEW BY: DATE APPROVED: 9• I�r —C� <br /> BUILDING REVIEW BY: ' DATE APPROVED: � -�� -va <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes !/ No <br /> PLAN REVIEW Yes �/ 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 /> ZONING CHECK LIST zoning Disuict: ( _jZ- I L <br /> Fire Department: �/l���v,�0 Post Office: w A�,r u:va School District: W�:3z't�n�K� <br /> Lot Area: Sq.ft. � ��o��- Acres .5 y Width I t�0 Depth Z 3�S <br /> Survey Submitted: Yes Oc No Date of Survey: ��Z"T°��t <br /> Proposed Setbacks: <br /> F�eat(Lake): I 1 t� �= Right Side: 3Z� = <br /> R�eaf (Street): �1 ` � Left Side: �{6` + ._ <br /> Adjacent Structures: A����'-"`� Wetland: N �A <br /> Building Height: Def. Hgt. O•/L Peak Hgt. 0•/� <br /> Lot Coverage: D•f� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: � �-- Resolution Date: <br /> Shoreland District: y,�,5 <br /> Avg. Setback: p.� Bluff Setback: IU 1 A Lot Coverage: C�•(C. <br /> Existing Proposed <br /> Hardcover: 0-75' N��- <br /> 75-250' Z'� 2�"70 <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No C Date of Council Approval: <br /> REMARKS(in house): <br /> 27 <br />