Laserfiche WebLink
CHECK OFF�.IST FOR ISSUANCE OF PERMITS <br /> F�OR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: zsc� S H���w��JJ <br /> PID: i <br /> DESCRIPTION OF WORK• �pe` sr��16t /l.00►� I�'ro viit,4rc_ R�e o� <br /> ZO�tPi tG REVIEW BY: N�o`�- DATE APPROVED: <br /> BUII.DING REVIEW BY: � � DATE APPROVED: fo a�-�Z <br /> FEES TO BE CHARGED: ' Misc. Fees Calculated By: <br /> PERNIIT 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 � STTEINSPECTTON <br /> Number of SAC�Units j OTHER (specify) <br /> � --------------------------- ------------- <br /> ZONING CH�CK LIST zoning bistrict: RJU Cl >- . <br /> I <br /> Fire Department: Post�ffice: School District: � <br /> Lot Area: Sq�.ft. Acres �, idth Depth <br /> Survey Submitted: Yes li No ate of Survey: <br /> Proposed Setbacks: i <br /> Front(Lake): jRight Side: <br /> Reaz(Sueet): IILeft Side: <br /> Adjacent Structures: 1 Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Se tic: Staff A roval Date: I B <br /> P PP Y• <br /> Zoning File: # Resolutidn: # Re olution Date: <br /> Shoreland Disuict: <br /> Avg. Setback: luff Setback: Lot Coverage: <br /> ���g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' �— <br /> 250-500' t-'— <br /> 500-1000' �— <br /> �— <br /> Hardcover Variance Required: Ye� No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />