Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 13 l Sb s{�2 u� p�.o.c.P <br /> PID: <br /> DESCRIPTION OF WORK: (�,.�-.��w...�� (l,�n,.,o�e c� <br /> ZONING REVIEW BY: /v DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: /�-z t^ -�i '1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes [� No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No 1� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /l1 C� C L-Eia�yn�. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 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 /> � <br /> 7 <br />