Laserfiche WebLink
. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � '`' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �C /(� �,�`��(� �..:._� ��L ��. <br /> 'PID• /"7- � 3 / Ovc.z. <br /> ' DESCRIPTION OF WORK: �plJ c T r o�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: .� ,,,_,_ DATE APPROVED: Y-Z'�-�'sg <br /> BUILDING REVIEW BY: DATE APPROVED: �-L7- `f 8 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes l/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR`I�ARGL Yes �� No WATERCONNECTTON <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LR • /G <br /> Fire Department: ��N,/� Post Office: w�4�,,�4 714 School District: �,,,ps7tlnl�@'i4 <br /> Lot Area: Sq.ft._�,Z?� Acres . 31� Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �(•Zrj -9(� <br /> Proposed Setba�ks: POQ�� � 6hQ,4(� G a(bkc�c� Po�u�, <br /> Front (Lake): _ "77 /ZO = Right Side: 0� 6 •� <br /> � <br /> Rear (Street): S 3 y8 � Left Side: 36� (b� '� <br /> Adjacent Structures: F�?7�q�t�c.�r� Wetland: N�t�~ <br /> Building Height: Def. Hgt. p.�L Peak Hgt. --' <br /> Lot Coverage: (q•6.3 <br /> Grading: Staff Approval Date: /J�}/ By: — Council Approval Date: — <br /> Septic: Staff Approval Date: /�/ �� By: " <br /> Zoning File: # ,,,2�?! - Resolution: # jc�S 7 Resolution Date: =� " ��� `1�J <br /> Shoreland Dist:ict: y�s <br /> Avg. Setback: N(�q-- Bluff Setback: N�/� Lot Coverage: l�'.(0 3 <br /> Existing Proposed <br /> Hardcover: 0-75' l d.� I(.L <br /> 75-250' y 5.l0$ v5•gY <br /> 250-500' 3� .�5 3�.6 2 <br /> 500-1000' <br /> Hardcover Variance Required: Yes x No Date of Council Approval: �(�2� • 9 7 <br /> REMARKS(in house): <br /> � 26 <br />