Laserfiche WebLink
�CIiEC3K OFF i.,IST FOR ISSUANCE OF �E�'VfITS <br /> FOR OFFICE USE ONLY - <br /> ADARESS OR LEuAL: �-/3 0 ��1�lo��►a-�, Ph � � ' <br /> PII7: <br /> JDESCRTP'�ION OF WORK: G <br /> ----------------------- <br /> ----------------------------Z <br /> ZOY�i IG REVIEtiV BY: `------- — DA'TE APPT'tiOVED: _y��� <br /> BU�(.,DING REVIEtiV BY: � . DA'I`E APPROVED; S -Z9 - <br /> FEES TO BE CHAI�GED: / Misc. Fees Calculated By: <br /> P��T Yes �/ No <br /> PLAN REVIE`V � Yes �/ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes ✓ No `VATERCONNEC`I'ION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No _� SITEIItiTSPECTION <br /> Number of SAC�Units OTHER (speci£y) <br /> ZQNIiVG CTi�CK LIST Zoning District: " . <br /> Fire Department: Post Office: School District: � <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: (n�tt �SW� <br /> Proposed Se;backs: hu-kh ���'.� : <br /> Froat(Lake): l�1�_ �-�� <br /> e�o�- cs �-f <br /> Rear (S[reet): f]� �t`�': J <br /> i ` � ��� � CSO' {�� <br /> Adjacent Structures; �� �Vetland: 0 O°� 71 �I �4 rn2•�r Z�' sa�ba�c� <br /> Buil�lin� Height: Def. Hgt, Peak Hgt. -� <br /> Lot Covera�e: h�' <br /> Gradin�: Scaff Approval Date: By: Council Approval Dace: <br /> Sepcic: Scaff Approval Date: L�� �(O�� �Y� '-�" <br /> Zoain� File: R Resolution: n Resolution Date; <br /> Shoreland District: �l�t Lot Covera�e: <br /> Av�. Setback; Bluff Setback: <br /> E�.isting Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SOa' <br /> �00-1 L`CO' <br /> �'- Y=- J2:i�.,ce P,e.� ir��.. s �o Da;e e` , ;t n�- v 1 <br /> ,.�_ t ��� �� ye . Ca�.ac Ar�-� �: <br /> na:��o"..� <br /> F.E`L�S (in house): <br />