Laserfiche WebLink
Ca-�P� iv- �-Sc� <br /> . . , •. _. _ .. -�-- --- ... _ _. <br /> y CH$CR OFF I,IST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AnnRsss oR �cAr.: �(�-�C:-� �1X'� � "�=-'� �� ' PID: Z7- 11�3 - �.� � � �C�l� <br /> DESCRIPTION OF WORR: � �� L- v f i�''�-'ti1�!-"-��(�`--- <br /> � ." <br /> -------------------�----- --------------------------_----�-----�-------------� <br /> ZONING REVIEW BY: t/�� DATE APPROVED �C� `''� - : O <br /> BIIILDING REVIEW BY: � DATE APPROVED: /(, • $" ' G'L� <br /> ---------------------- ---------------_------------------y�-- - ---� <br /> -�/-� - ------- <br /> FEES TO BE CHARGSD: Misc Fees Calculated B • ( ° <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ; No SEWER CONNECTION - <br /> STATE SURCHARGE Yes� No�.,/ WATER CONNECTION - <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITE INSPECTION _ <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------g---------�--�-f-------------------� <br /> ZONING CHECR LIST Zonin District � ,� <br /> Fire DepartT,ent- �i �-- Post Office: _ �-- School District: �f� �'�f � � j <br /> . <br /> � � , <br /> �-� �.. <br /> Lot Area: /� �" -` Width: ���d) '' Depth: -- - <br /> d ', .,'° _ <br /> Survey Submitted: Yes� No Date of Survey: j> �" � ry �-�' <br /> Proposed Setbacks : <br /> Front (Lake ) : Right Side: r � � �,..�-�'�1�.-� -- S E� <br /> ..,� �-�� � ,l" � ,.���L-�'F'L..�l� � <br /> Rear ( Street) : ' Left Side: l � � <br /> Adjacent Structures : �— Wetland: <br /> Building Height: Def. Hgt. -�-�-- Peak Hgt. <br /> Avg. Setback: Lot Coverage: �� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' A <br /> , <br /> 250-500 ' '� <br /> � � <br /> 500-1000 ' <br /> - ,. <br /> Hardcover Variance Required: Yes No�. Date of Council Approval: � <br /> Grading: Staff Approval Date: � By: Council Approval Date: � <br /> Septic: Staff Approval Date: '"`�� By: ' <br /> f <br /> Zoning File: # "��' Resolution #: `�" Resolution Date: �'""�'" � <br /> i <br /> . . i <br /> REMARRS (in house) : <br />