Laserfiche WebLink
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: __ Z�3 O S��v G2�1 i E w ��,Z <br /> P1D: ' <br /> • DESCRIPTIONOFWORK: (�we�R l�� �=�n+�si-1 <br /> ZONING REVIEW BY: � DATE APPROVED: Y-q, u Y <br /> BUILDING REVIEW BY: DATE APPROVED: �{-c� �oy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLANREVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes__� No WATER CONNECT70N <br /> INVEST7GATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECT70N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: N v G�-{AIV�Q <br /> Fire Depanment: 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 /> Rear (Street): Left Side: <br /> % <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> 1 <br /> Lot Coverage: ��' <br /> � <br /> Grading: Sta,�'Approval Date: `��y: Council Approval Date: <br /> Septic: Sta}J`'Approval Date: By.� <br /> Zoning File: # Resolution:# � Resolution Date: <br /> Shoreland District: � <br /> Avg.Setback: Bluff Setback:' Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' � <br /> 75-250' i <br /> 250-500' _ <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: � <br /> REMARKS(in house): <br /> 32 <br />