Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Z'66 'ToNV_A AWE <br /> PID: <br /> DESCRIPTION OF WORK: 010/T-10 nJ <br /> ZONING REVIEW BY: DATE APPROVED: o <br /> BUILDING REVIEW BY: DATE APPROVED: 2- <br /> --_-- -- ______ ------------------ - --------------r-.---_,--------------------- <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: ( .•I.A <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. -23.05 Acres •5`-t Width 2u o' Depth t bi <br /> Survey Submitted: Yes _ No Date of Survey: on F/cg <br /> Proposed Setbacks: <br /> Front(Lake): 33 Right Side: b• <br /> Rear(Street): ML•S Left Side: ?� <br /> Adjacent Structures: vJ( A- Wetland: /J I A <br /> Building Height: Def. Hgt. D.I<- Peak Hgt. -- <br /> Lot Coverage: 1(.'7 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: /sy•o$' <br /> Shoreland District: Vej <br /> Avg. Setback: OJ I A Bluff Setback: N / A Lot Coverage: 1 1. 7 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' i 1•�_ <br /> 500-1000' 33.5 211 <br /> Hardcover Variance Required: Yes No A Date of Council Approval: <br /> REMARKS (in house): <br />