Laserfiche WebLink
. � CHECK OFF LIST FOR ISSUANCE OF PERi12iTS <br /> � FOR OFFICE USE ONLY <br /> AI�DRESS OR LEGAL: _ 3�3 SO .SHD .EC..Irv�P �O R . <br /> . PID: 1 � � i I-�- � _3� e�~�(E, . <br /> DESCRTPTION OF WORK: 5 l�N � <br /> _ _-------------------------- <br /> ZON.�i tG REVIEti�BY: L, I Z � DATE APPROVED: 9 -!S-9�3-- <br /> BUIL,D .J�i TG REV1Eti�BY• � . DATE APPROVED: � ��/S -��d <br /> . . _--___--_-- ---------------=- <br /> �EES TO BE CHARGED: Sf 6�� isc Fees Calculated By: <br /> PERNIIT Yes t� No ' <br /> PL� ��� Z'eS No SEWER CO�ECTiON <br /> STATE SUR`H1�RCrr, Yes No �ATER CO�NECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units 01'HER (specify) <br /> ----------------------------- ------ --- <br /> ZO�ING CHECK LIST zoning Districr. ko c/ai9�v(,�? � <br /> Fire Department: Post Office: School District: � . <br /> Lot Area: Sq.ft. Acres l�Vidth Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (La.�Ce): , 25� Right Side: ' <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vetland: <br /> . � _ <br /> Buildina Height: Def. Hot. /S pea.k Ho�. <br /> Lot Coverage• <br /> Gradi.n�: Staff Approval Date: � By: Council Approval Date: <br /> Sepcic: Staff Approval Date: gy; • . <br /> Zonino File: � Resolution: # Resolution Date: • <br /> Shoreland DisL-ict: � � <br /> Avg. Setback: Bluff Setback: L,flt Coverage: � <br /> ' ' Existing Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . - • <br /> 250-500' . . <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> REI�ZARKS ('in hovse): � <br /> z <br /> . �.�'' ` 26 <br /> . �t� . . <br />