Laserfiche WebLink
�: <br /> • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3oy S 5 r x�-� ,4,,o N� - <br /> PID: <br /> DESCRIPTION OF WORK: �'�-1 r..� (�+,o� ���, <br /> ZONING REV�W BY: DATE APPROVED: 9•r 3 -� <br /> BUILDING REVIEW BY: DATE APPROVED: y'- �3-�. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No �/ SEWER CONNF.CTION <br /> STATE SURCHARGE Yes ✓` No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No_� Date of Survey: S,� �� <br /> Proposed Setbacks: <br /> Front(Lake): �c�U� t Right Side: (oo' '� <br /> Reaz(Street): 1�o` � Left Side: S 2` <br /> Adjacent Structures: �B U ` ''�' Wetland: �r�/E <br /> Building Height: Def. Hgt. �, � Peak Hgt. Q,)t. <br /> Lot Coverage: N �� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -' By: <br /> Zoning FIIe: # Resolution: # Resolution Date: <br /> Shoreland District: /UO <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 Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />