Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I H g � s N u 2c��N�. 0�2 � <br /> PID: <br /> DESCRIPTION OF WORK: LA►Ck /�c�ss ��2s <br /> ZO�TG REVIEW BY: � � N N DATE APPROVED: g-Z(�•03 <br /> BUII..DI�i iG REVIEW BY: DATE APPROVED; {g -t�3� - 03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1vIIT Yes ✓ No <br /> PLAi�1 REVIEW Yes ,/ No SEWER CONNECTIOT,' <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No ✓ PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZOIti�1G CHE.CK LIST Zoning District: C9�1� o�C N_(4. . <br /> Fire Department: � Post OfFce: School District: • �_ <br /> Lot Area: Sq.ft. Acres ' idth Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �i� F�i!�-' <br /> Proposed Setbacks: I/ <br /> Front(I.ake): Right Side: �/�- �� �.� <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Netlan . <br /> Building Hei�ht: Def. Hgt. Peak H . <br /> Lot Coverage: <br /> Gradino: Staff Approval Date: By: Council Approval Da : <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Co�erage: <br /> � Existina Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Appr val: <br /> REMARKS (in house): �� <br /> � <br /> i ' <br /> � . . . <br />