Laserfiche WebLink
, � • <br /> r <br /> • . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 3oy5 �o� 14✓L� � <br /> PID: <br /> DESCRIPTION OF WORK: JL�lv�,opLt. <br /> ZONING REVIEW BY: ' DATE APPROVED: g - y • �i� <br /> BUILDING REVIEW BY: DATE APPROVED: $ -Y�g 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No • <br /> PLAN REVIEW Yes �- No SEWIIt CONNF,CTION <br /> STATE SUR�HARGE Yes � No WATERCOrfNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y;:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: <br /> Fire Depaztment: 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 /> Reaz (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> ���. <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 Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> • 26 <br />