Laserfiche WebLink
+ � CHECK OFF LIST FOR ISSUANCE OF PER�I�IITS <br /> _ FOR OFFICE USE ONLY � . <br /> ADDRESS OR LEGAL: Z 13 C� 5 N�AfJ�i w d o J� ��A-�/1 <br /> PID: <br /> DESCRIPTION OF WORK: (V�W t2�.5 <br /> , - . <br /> ZO�'G RE'VIEW BY: DATE APPROVED: �t'- I J"--�� <br /> BUII.DIYG REV�`V BY: DATE APPROVID; �'j -i 5-r�J <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes c/ No � <br /> pLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATgtCONNECTION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No ,i SITEINSPECTION <br /> Number of SAC�Units �,/1�.��r ��„r. �,,,.W OTHER (specify) <br /> ZOYL�tG CHE.CK LIST Zoning District: � �ti.���- � <br /> Fire Department: Mov�N iD Post Office: W AyZ w'� School District: iw�,-s�N kA <br /> Lot Area: Sq.ft. 31�"Z-3� Acres .7 i� � Width l o�13 A�uQ Depth Zg 1•5 f�� <br /> Survey Submitted: Yes_ c� No Date of Survey: �8-31 -�O <br /> proposed Setbacks: <br /> Front(Lake): I l-7 Right Side: I �t�4S <br /> Rear(Street): I I`� Left Side: �Z• 3 <br /> Adjacent Structures: /V (•� Wetland: — . <br /> Building Heiaht: Def. Hgt. 2`l Peak Hgt. 2��S� <br /> I,ot Covera�e: I 0•lo lo <br /> Grading: Staff Approval Date: `l"� S'V� By; da U. Council Approval Date: _ <br /> Septic: Staff Approval Date: /�! � � By: <br /> Zonin�File: # N �✓;' Resolution: �# — Resolution Date: — <br /> Shorelaad District: �,/�P5 <br /> Avg. Setback: v��� Bluff Setback: n/ (/'� Loc Coverage: /a��6 <br /> Existing Proposed <br /> Hardcover: 0-75' U � � <br /> 75-250' 7 5�7 0 <br /> 250-500' ���--�� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: <br /> gE1�IA,R]KS (in house): <br /> 7 <br />