Laserfiche WebLink
. , <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2"13C� �'I�u4��1 w oo✓� ��, � <br /> PID• <br /> DESCRIPTION OF WORK: �ccK /I.�7�/3-i <br /> ZO�iIl�TG REVIEW BY: DATE APPROVED: �o-�y-c,� <br /> BUII..DING REV�W BY: DATE APPROVED•, �o- � y -��- <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 WATERCONNECTION <br /> IIWESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: zt1 o Gl��-�inC,O . <br /> d'` <br /> Fire Depaztment: 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 /> Reaz(Sueet): Left Side: <br /> Adjacent Structures: tland: <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepdc: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: 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 /> RENIARKS(in house): <br />