Laserfiche WebLink
t <br /> • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z2.�-{O SNz4d�wc��✓J (Lb�Q <br /> PID: <br /> DESCRIPTION OF WORK: (Z.1�,�iN�,� �,yq.�,L <br /> ZO�iG REVIEW BY: N M � DATE APPROVED: �'i-/9—o f <br /> BUII�DING REV�W BY: �/�- DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (/ No <br /> PLAi�t REVIEW � Yes !//' No SEWER CONNECfION <br /> STATE SURCHARGE Yes (/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: iv o e�� <br /> Fire Department: Post Office: School Districr. � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No �C Date of Survey: <br /> Proposed Setbacks: � ` / <br /> Froat(Lake): Right Side: (j,�ti+�,.��r►S p�,,�,4�-�- v� � <br /> �,,� �-o �,�.'�cac-� c3x�5 r,«.� <br /> Rear(Sueet): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> L.ot Coverage: <br /> Grading: Staff Approval Date: 9' �`l —G( By: � Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Disuict: � �7 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' ���� <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />