Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: X1765 TOrV<4V(&w -�4,�►t� - <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: -7- <br /> BUILDING REVIEW BY: DATE APPROVED: -7• <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT • Yes ,/ No <br /> PLAN REVIEW yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓- PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 4A- iLi Shoreland District: Y(E <br /> Fire Department: {/V\g unr%D <br /> Post Office: w oy N W School District: W a ST o N K.4 <br /> Lot Area: Sq.ft. N Acres — Width — Depth _ <br /> Survey Submitted: Yes K. No Date of Survey: <br /> Proposed Setbacks: <br /> Front (tzke): Ste` Right Side: C- <br /> Rear (&mev): Left Side: N I^ w <br /> Adjacent Structures: t Wetland: (J kA <br /> Building Height: Def. Hgt. Peak Hgt. 2 I •5 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> N•A Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> REMARKS (in house): <br />