Laserfiche WebLink
� . , <br /> � �HECK OFF i.IST FOR iSSUANCE 4F �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�05 �i�N Av-e N <br /> PID: <br /> DESCRIPTION OF WORK: �'v�.� 2,G� <br /> ZO�G REVJEW BY: DATE APPROVED: 3-iB-o� <br /> BUILDING REVIEtiY BY: DATE APPROVED; 3-��-v� <br /> FEES TO BE CI3ARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW � Yes �/ No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC�Units �,q� OTHER (specify) <br /> --------------------------_w�__� r��------------------------------------------------------------------- <br /> ZO�t'ING CHE.CK LIST Zoning District: <br /> Fire Department: Post OfFice: School District: <br /> Lot Area: Sq.ft. ��y, 623 Acres Z•H 1 Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: I' i Q •a b <br /> Proposed Setbacks: <br /> Front(Lake): l �3°!� 3 Right Side: s�� <br /> Rear(Street): ��g .�I Left Side: 5$ •S <br /> Adjacent Structuses: N (f� Wetland: N ( f1 <br /> Buildin� Height: Def. Hgt. Z7• S Peal:Hgt. 3`i <br /> Lot Coverage: 1`��� <br /> oc,� � � . <br /> Grading: Staff Approval Date: 3•13-0 b By: � Council Approval Date: <br /> Septic: Staff Approval Date: �-13 -Od By: W.(�. <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /�J� <br /> Av;. Setback: Bluff Setback: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REv1ARKS (in house): <br /> � <br />