Laserfiche WebLink
' � CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3��t o s t-�c�czc L�rv� D R <br /> PID: <br /> DESCRIPTION OF WORK: _ ,(�C r. C�r4 2 A�cr <br /> ZO�iPi TG REV�W BY: � DATE APPROVED: y-��3-o z <br /> BUII.DING REVIEW BY: DATE APPROVED: c�-� �,-v Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes v� No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPEG"ITON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq�.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: c9ni �'�c,�; <br /> Proposed Setbacks: <br /> Front(L�: �70` � Right Side: i S" <br /> r <br /> Rear(SSreet): �0 t I,eft Side: /Oo � <br /> Adjacent Structures: lo' �- Wetland: y0 � <br /> Building Height: Def. Hgt. �.(c Peak Hgt. �. (L <br /> Lot Coverage: ��o <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By; <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y�P s <br /> Avg. Setback: n� l�_ Bluff Setback: �(/�- Lot Coverage: '�'!'�� <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' _ ��,i y � ��t� <br /> 2S0-S00' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARI�S(in house)• <br /> 7 <br />