Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t a 9 O �N A�4 W o0 JJ C�A�� <br /> PID: <br /> DESCRIPTION OF WORK: A A r�� n �r.`J �2.�, m o�c L <br /> ZO.�TING REVIEW BY: DAT'E APPROVED: � -2s � 9S� <br /> BUILDING REVTEW BY: DATE APPROVED; 3 - 2 s - 9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> pLAN REVIEW Yes t/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes �No WATERCONNECTTON � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ____________ ____--_------------------------------------------------------- <br /> ZONING CHE.CK LIST Zoning District: L R - 1 L <br /> Fire Departmenr. ✓YI,O�N� Post Office: c Ay�.714 School District: (,�rPSi�n/�4 <br /> Lot Area: Sq.ft. 3�?.9°�0 Acres _ �� Width Depth <br /> Survey Submitted: Yes C No Date of Survey: <br /> Proposed Setbacks: , <br /> Front(Lake): �S' RighCSide: !o� + <br /> Reaz(Street): (S s Left Side: SS� �= <br /> Adjacent Structures: A�?lAC If� Wetland: /�1 � I'a <br /> Building Height: Def. Hgt. Q• (L Peal:Hgt. D. (c <br /> Lot Coverage: ��� <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> � <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Z y4�� - Resolution: # Resolution Date: I- 25 -5 5 <br /> Shoreland District: y�P S <br /> Avg. Setback: �J FtiQ�v�n�Cti Bluff Setback: /V �/� Lot Coverage: �• �� <br /> Existing Proposed <br /> Hazdcover: 0-75' �{.0� y.o S <br /> 75-250' 3g.°I�-1 3 y Z- <br /> 250-500' 1 I.?b 1 l•"l lo <br /> 500-1000' <br /> Hardcover Variance Required: Yes D� No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />