Laserfiche WebLink
CHECK OFF LIST FORCE USE ONLY <br /> PERtiIITS <br /> FOR <br /> ADDRESSOR LEGAL: 2ti8s T�-t�,?ovGN�3R[:o PID: Q C{'// 7— ,2 3 <br /> DESCRIPTION OF WORK: Ne-` /t'l�;S <br /> ZOti�ti G REV�jV BY: �1" DA's = PROVED: 9-r z•4 S <br /> BL�DLNG RE«tiV BY: DATE APPROVED: <br /> FEES TO BE CH.�RGED: Misc. Fees Calculated By: <br /> PERMIT Yes '� N0 <br /> PLAN RE`ZE�V Yes � :pro SAVER CON�rECTION <br /> No WATER CONNECTION <br /> STATE SURCHARGE Yes p�, FEE <br /> INVESTIGATION FEE Yes No <br /> SAC <br /> Yes No SITE INSPECTION <br /> Number of SAC UniOTHER (specify)ts <br /> ---------------------------- <br /> ZONr�'G CHECK LIST Zoning <br /> District: t2(Z-(Q Shoreland District <br /> Fire Depanment: L L— <br /> Post Office: School District: O/14N0 <br /> gM Lot Area: Sq.ft. <br /> `�'3,)D LtAcres Z.•�S Width Z`(l.31 Depth 3` --ZI <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> proposed Setbacks: <br /> p Front (ltktt: Right Side: <br /> Rear <br /> 4- Left Side: 1 1 <br /> (St-tee=): Z� — <br /> Adjacent Structures: N 16 Wetland: n//r4 <br /> � <br /> Building Height: Det". Hgt. 2`+ Peak HQgt. 3� <br /> Avg. Setback: <br /> Bluff Seib ck: t Coverage: <br /> Existin Pr osed <br /> Hardcover: 0- 5' <br /> 7 -250' <br /> 50-500' <br /> 00-1000' <br /> Hardcover V ance Required: s No Date of Council pproval: <br /> By: d '0• Council Approval Date: <br /> Grading: Staff Approval Date: <br /> Approval Date: By: <br /> Septic: Staff APP ----- <br /> Zoning File: <br /> Resolution: #7 Resolution Date: r <br /> REN ARKS (in house): <br /> 26 <br />