Laserfiche WebLink
. • ' <br /> CHECjK OFF i�IST FOR ISSUANCE 4F �'ERMITS <br /> FOR OFFICE USE ONLY <br /> AADRESS OR LEGAL: �5S S-�'li 6�l'�� �7l���, I"�G'�- <br /> PLD: 2� �23 � 1' �� <br /> DESCRIP'I'TON OF W�RK: 9� N� 1� <br /> -- ------- ------------------------------------------- <br /> ZOVTi IG REVIEtiV BY: � DATE APPROVED: <br /> SUILDING REVIEW BY: DATE.APPROVED: ,5�-2�--0�6 <br /> FEES TO BE CHA�2GED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIE`V � Yes —� No SEtiVF�R CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specif.y) <br /> ---------------------------------- ------------------------------------- <br /> ZOYIl�IG CH�CK LIST Zoning District: ���A" . <br /> Fire Department: Post Office: �� �lit-School District: � � <br /> L,ot Area: Sq.ft. ��i 73� �95� Width 5� �� � DePth �7 � <br /> Acres <br /> � 2 z-- o G �'°ST <br /> Survey Submitted: Yes� No Date of Survey: p��I1 f t o� <br /> Pro osed cks`. � ' . . <br /> P � ,�v,'l'� <br /> /�ron Lake): � � � Right Side: � �U <br /> �.-� ��� <br /> , �v� , <br /> ,'�Reaz1(Sueet): ��� L"�'ft�ide: <br /> ..�` � N//`� <br /> Adjacent Structures: � Wetland: <br /> � � CLow� -I�� Idav�� � O�.J <br /> Buildin� Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: /�(� � By: Council Approval Date: �� � <br /> Septic: Staff Approval Date: �. �p By� C�•C� <br /> Zonin� File: !#� Resolution: � �� Resolution Date: /V <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCovera?e: <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Datz of Council Approval: <br /> REti�L4RKS (inhouse): /¢uOWt� Dl�� '" 3.08�0 s�. ���;-� = 2�7°1 � � � <br /> �� : 1� D 14-� COI/�'T�N�N'T� 2�1 l.�l�'�'i'tt� GJ W PLRls. GQV!�N/4r�T <br /> � <br />