Laserfiche WebLink
' CHE�K OFF i�IST FOR ISSU.ANCE OF �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�6O �sHo2Ec.��v� O�- <br /> PID: <br /> DESCR�'TIOi�i OF WORK: �vCo./ /7.c3 <br /> ZO�IG REVIE`V BY: ---/►1 P6 - ,�c�. r DATE APPR�VED: _f,- 1 �-o� <br /> SUiLDING REVIEtiV BY: DATE�PROVED: � •Z�-o c , . <br /> FEES TO BE CHARGED: , Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes �/ No SE`�TER COiyNECTION <br /> STATE SURCHARGE Yes —� No WATERCONNECTION <br /> INVESTIGATION FEE Yes Na _� PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units q,� ,o.Z�-�S ��o�o,y OTHER (sgecify) <br /> ZONI.�iG CH�CK LTST Zoning Districr. C./2•/A . <br /> Fire Department: Post Office: _ School District: � � <br /> Lot Area: Sq.ft. g3.2b� Acres t•9 � Width �3� Depth <br /> 0/�4r-n..7 6 - l c�- o r <br /> Survey Submitted: Yes__ cL No Date of Survey: 4-b- d� �5'� <br /> , (��/�s i o.� <br /> Proposed Setbacks: , . <br /> Front(Lake): 3Z-`{ � Ri�.t Side: �3d� <br /> Rear(Street): 235 Left Side: 3�' ` <br /> Adjacent Structures: N(Ar Wetland: ZYY�f <br /> Builcling Hei�ic: Def. Hgt. 2�1.� Peal:Hgt. 3 h� <br /> Lot Coverage: b�k- <br /> Gradino: Staff Approval Date: �-ow��_ By: 6 z�-ob Council Approval Date: -� ' <br /> Septic: Staff Approval Date: �J /�4 BY� — <br /> Zoaing File: !# 05-313b Resolution: 1� Resolutioa Date: <br /> Shoreland District: �,p, <br /> Av?. Setback: �.�� Bluff Setback: �(A L.ot Coveta�e: a•�� <br /> Eusting Proposed <br /> Hardcover: 0-75' 8'� <br /> 75-250' � '� <br /> 2�0-500' Z�' <br /> 500-1OQ0' ' `� <br /> F-iardcover Variance Required: Yes No �_ Da�z oE Council ApQroval: <br /> RE1�L4R�iS (in house): <br />