Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �-I b O Sc�ss� x t.A N C <br /> PID: <br /> DESCRIPTION OF WORK: L..ow e�2 L.�v�L r=,.•+�s� t �.��rta► s�si�t,.S <br /> ZO�PIG REV�W BY: DAT'E APPROVED: �-Lyg-a3 <br /> BUII..DING REVIEW BY: DATEAPPROVED; 3-z-�e-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes r/' No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes _�� No WATERCONNEClTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres " Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: �� �i�. t Z-1�j •9`� <br /> Proposed Setbacks: ' � <br /> �ront � t <br /> (�adea): I I�i '� Right Side: I 3S' <br /> Reaz(St�eet): � 335 ' : Left Side: �10 ' t <br /> Adjacent Structures: A=h�r,l,f•.( Wetland: � <br /> Building Height: Def. Hgt. — Peal:Hgt. — <br /> Lot Coveraae• � - <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hudcover: 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): <br /> 7 <br />