Laserfiche WebLink
� <br /> CHECg OFFLIST FOR ISSUA�VVCE OFPERMITS <br /> � FOR O FICE LISE ONLY <br /> ADDRESS OR LEGAL: �� �( �,�J� <br /> rm: <br /> � <br /> DESCRIPTIONOF WORg: <br /> ZONING REVIEW BY.• DATEAPPROVED: <br /> BUILDING REi�lEW BY.• DATEAPPROTrED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> P���E� YeS No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE -- <br /> �C Yes No SITEINSPECTION <br /> 1Vumber of SAC Units OTHER (spec�) <br /> ZONING CHEC%LIST Zoning District: � <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 /> _ .. . <br /> Front(Lake): Right Side: <br /> �� . <br /> Rear(Street): LeftSide: - y'�-�� IU t��c., <br /> Adjacent Structures: Wetland.• ���--�--= . <br /> Building Height: Def.Hgt. Peak Hgt. <br /> Lot Coverage: . <br /> Grading: StaffApproval Date: By: Council Approvcrl Date: <br /> � Septic: Staff Approval Date: _ gy�/J <br /> �r <br /> Zoning File: # Resolution: # __ Resolution Date: � <br /> Shoreland District: MCWD Permit: <br /> Avg.Setback: Blu,f�'Setback; Lot Coverage: <br /> Existing Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Reguired.• Yes No Date of Council Approval: <br /> REMARKS('ln house): <br /> 33 <br />