Laserfiche WebLink
r , y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ���g U ��-k�2c��►v2 �J 2�v�e. . <br /> PID• <br /> DESCRIPTION OF WORK: (}cc�sso s�wc�rn� - s . s�o <br /> ZOYPi TG REV�W BY: DATE APPROVED: 9-2 Y•�Z <br /> BUII..DING REVIEW BY: DATE APPROVED,• g- Z�Y-�-z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No �. SITEINSPECTTON <br /> Number of SAC�Units N� � �,� ��6 OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq�.ft. Acres (,.{.S Width Depth <br /> Survey Submitted: Yes / No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): c�-(� Right Side: I�5 <br /> Rear(Sueet): SO I.eft Side: O.IL <br /> Adjacent Structures: c�.k-- Wetland: �v�/L <br /> Building Height: Def. Hgt. Peak Hgt. -- <br /> Lot Coverage: N/�- <br /> r P� c�...�,� ,�,,�,��. <br /> Grading: Staff Approval Date: 5- vy- o Z By: �v� Council Approval Date: � �- Zo - 02 <br /> Septic: Staff Approval Date: N e� By: <br /> Zoning File: # o2-Z-tZ�, Resolution: # y 5 Resolution Date: G-Lt - o Z. <br /> Shoreland District: v�e 5 <br /> Avg. Setback�� n�l/�- Bluff Setback: nr /.�- Loc Coverage: �v/,a <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' > 3 S°7 0 <br /> Hazdcover Variance Required: Yes_� No Date of Council Approval: �•"2 e-0 2 <br /> REMARKS(in house)• <br /> 7 <br />