Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Cv S � > PID' <br /> " (p�NS NIO <br /> DESCRIPTION OF WORK: <br /> - - - A�KL <br /> -- ------- ------ --- - qZONING REVIEW BY: DATE APPROVED: J �lN P), s- <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> _ -------------------- ----- ------- <br /> ---- ---- <br /> TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes No SEWER CONNECTION -- <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARR FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _____ _ _ ------------------- ---------------- <br /> ----------------------------- ,p <br /> ZONING CHECK LIST Zoning District: /-- - <br /> Fire Department: Y"\ Post Office: WA-YZ School District: <br /> Lot Area: r- Width: Depth: <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : <br /> Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Lot 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 /> Grading: Staff Approval Date: -12-"! By:466ouncil Approval Datef ,�-*/ <br /> Septic: Staff Approval Date: By: <S <br /> Zoning File:# "` O Resolution #: Is Resolution Date: L2 - <br /> REMARKS (in house) : <br />