Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-12LS TOGO 2OA 45 <br /> PID: <br /> DESCRIPTION OF WORK: IQ �=Ty-\c.t-�,.e� GAr24 6 c <br /> �c� _~~-----------------DATE APPROVED: -9 -�5'--�o <br /> --- <br /> ZONING REVIEW BYBUILDING REVIEW BY: DATE APPROVED: 4 -c f--c>a <br /> --------_------------------------- -------_ ---_____-- - -- ------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L 2-►L <br /> Fire Department: (V1av nr✓) Post Office: W o*�V-tA r-A School District: <br /> Lot Area: Sq.ft. 573,i°►-L Acres •2-Z- Width Z 4 i1 Depth Z1 �6 <br /> Survey Submitted: Yes L No Date of Survey: C% S i L tz <br /> Proposed Setbacks: <br /> Front(Lake): i--N& ` t Right Side: 16 <br /> Rear(Street): 3l."1 Left Side: Zo 3 <br /> Adjacent Structures: Wetland: N (A <br /> Building Height: Def. Hgt. 0 •Y. Peak Hgt. -- <br /> Lot Coverage: 0.K - <br /> Grading: Staff Approval Date: �{• 15-�y By: 610-0- Council Approval Date: -- <br /> Septic: Staff Approval Date: N �� By: <br /> Zoning File: # — Resolution: # Resolution Date: — <br /> Shoreland District: /V C9 <br /> Avg. Setback: Bluff 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 /> REMARKS(in house): <br /> 7 <br />