Laserfiche WebLink
r • <br /> CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> _ FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: l�1�-i C7 5 l�F o cZx.��w�:. ✓)2 . <br /> PID: <br /> DESCRIPTION OF WORK: ���L <br /> . <br /> ZO�TG REVIE`V BY: DATE APPROVED: <8 — Z 2.-tac� <br /> BUIIrDI�i TG REVIE�V BY: N(/� DATE APPROVED; <br /> FEES TO BE CHARGED: Gl�k�o�^� �sc ees Ca�lcu�a�y: �° c• v.�. <br /> PERMIT Yes �/ No ; <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOiYL��iG CHECB LIST Zoning District: (� ,�< � <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(Street): Left Side: <br /> Adjacent Structures: tland: . <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Lot Covera,e: <br /> Grading: Staff Approval Date: ; By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: i� Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setb ck: I,otCoverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> Zsasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />