Laserfiche WebLink
CHECK OF� LIS'i'.FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O LY <br /> �, <br /> ADDRESS OR LEGAL: `�, ;� ��L�-L>,/� �� ��� <br /> PID: � <br /> DESCRIPTION OF WORK: �.j_�- ,�_.�, <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING RE`IEW BY: �z'� C��-<•—_ DAT'E APPROVED: �f -z2-s� <br /> BUILDING REVIEW BY: �" J,; � � 7 <br /> -:-�(�L�,t.,,� DATE APPROVED: �,- z z � <br /> � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �--� No SEWER CONNECTION <br /> STATE SUR:�IARG� Yes ��� No WATERCONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OT�-iER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �R"�� <br /> �';re Department: 1.��,1.1��u:: Post Office: t�=��������' School District: �;2-�N <br /> - ;�— <br /> Lot Area: Sq.ft. �U,l�c� Acres r�Q � Width 2�,�% Depth 3i G <br /> Survey Submitted: Yes X No Date of Survey: C� � � 7� <br /> Proposed Setbacks: <br /> Front (�ce.}; Z-��� ± Right Side: ���� � �' <br /> Rear(�tFeet): �1� ± Left Side: i c y� '�' <br /> Adjacent Structures: ��-r�ac..,�c-r,� Wetland: !v �fW <br /> Building Height: Def. Hgt. ti(r4 Peak Hgt. -, <br /> Lot Coverage: ���,4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> N-A� Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): Ch�-T�� Pn.�v r��.r,l -��;,,.� ,�ex��; �-_� !�c� �-,I��J! �.1 ;` — <br /> • 26 <br />