Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z.o i� ��,d4w o�r� (L0/� <br /> PID: <br /> DESCRIPTION OF WORK: w i�v��s r4n,✓� .s� ►� /�'��e r �-c��02. <br /> ZO.�1Ni G RE'VIEW BY: � DATE APPROVED: <br /> BUII..DING REVIEW BY: � DATE APPROVID: �f-�!! � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �� No <br /> PLAN REVIEW Yes No �f SEWER COrtNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTTGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST zoning Districr. �uo C�-�,l . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: ' <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet and: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: B • Council Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RENIARI�S(in house): <br /> 7 <br />