Laserfiche WebLink
' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: ZSS c7 Go cz.o.�.,o (� <br /> PID: <br /> DESCRIPTION OF WORK: I�1 Ct� C�S <br /> zo�rlivG 1�v�w sY: DATE APPROVED: �-L-o� <br /> BLTII.DING REVIEW BY: DATE APPROVED: �g•2,-v y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .� No <br /> PLAN REVIEW � Yes No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATF�t CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes . No ,%� • SITEINSPECTION <br /> Number of SAC Units rrc_ �¢-/�,��t OTHER (specify) <br /> ZOYI�iG CH�CK LIST Zoning District: <br /> Fire Departmenr. Post O�ce: School District: <br /> Lot Area: Sq.ft. 1 f.1�s�t o Acres 3.�bS Width z7'�( Depth lo(Y•$2 <br /> Survey Submitted: Yes�_ No Date of Survey: !e•Za•o S <br /> Proposed Setbacks: � <br /> Front(Lake): �/IS ^ Right Side: (,�•'�{ <br /> Rear (Street): 13d� �' Left Side: 1�-`S <br /> Adjacent Structures: �v/A Wetland: /v /�9 <br /> Building Height: Def. Hgt. Z�.b Peak Hgt. 3S � <br /> Lot Covera�e: � 1/� <br /> Grading: Staff Approval Date: $• 2.- o� By: ,�'1'I P 6 Council Approval Date: '— <br /> Septic: Staff Approval Date: $ - �-D S By: W•�'. <br /> Zoning File: # '"' Resolution: # Resolution Date: <br /> Shoreland District: �i <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezistin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REviARKS (in house): <br />