Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z.�j'yf> C� u.rl 6 <br /> PID: <br /> DESCRIPTION OF WORK: �.� <br /> -----------------------------------------�'}----- -------------------------------------------------�--�--:------------ <br /> ZONING REVIEW BY: C�' o DATE APPROVED• v u� -c�c� <br /> BUILDING REVIEW BY: �rc GG��� DATE APPROVED: �c� • �- �� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �c No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: —�� <br /> Fire Department: �v1��/� Post Office: �y9 �/'�e School District: �� <br /> Lot Area: Sq.ft.�K�9e Acres �b Width I 3��+ Depth �YS <br /> Survey Submitted: Yes � No Date of Survey: �5� <br /> Proposed Setbacks: i <br /> Front (Lake): C�'2-13 Right Side: I �z� <br /> Rear (Street): �,� b� ��" Left Side: � l�O O � t <br /> Adjacent Structures: Wetland: �//� <br /> Building Height: Def. Hgt. / �� Peak Hgt. Z-O <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> A/'�� I Existing 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 /> REMARKS (in house): <br /> 27 <br />