Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRE.SS OR LEGAL: Z n o 5-f J (3�S5 (��, 1�� � ' <br /> PID: <br /> DESCRIPTION OF WORK: y�l,�.� �c,D6 <br /> ZO�IG REVIEW BY: DATE APPROVED: �-�7-�3 <br /> BUILDING RE'VIEW BY: DATE APPROVED; �-,-j:0 3 � . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11iIIT Yes ✓' No <br /> PLA��i REVIEW Yes No ✓ SEyYFjlt CONNEC"IZON <br /> STATE SURCHARGE Yes r/ No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: 12 2-//S <br /> Fire Department: � 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): q o' Right Side: I�►u ' � <br /> Reaz(Street): ���� f Left Side: 30 0 ` t' <br /> Adjacent Structures: N�A- �Vetland: N�� . <br /> Building Height: Def. Hgt. o.1L Peal:Hgt. <br /> Lot Coverage: N / <br /> Grading: Staff Approval Date: — By: Cauncil Approval Date: <br /> Septic: Staff Approval Date: `� By: <br /> Zoning File: # P�2-2�9�i Resolution: # Resolution Date: � <br /> Shoreland District: /� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existin; Proposed <br /> Hazdcover: 0-?5' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMAR]KS(in house): <br /> 7 � <br />