Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: HZp 'rOAJZ4 w4 <br /> PID: <br /> DESCRIPTION OF WORK: A qb I T) Ow S <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY:. DATE APPROVED: _ &-Lq- 95-- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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: & A <br /> Fire Department: (,oAj w.4L Post Office: Cis(*%u: School District: o aON o <br /> Lot Area: Sq.ft. K!; 3 V) Acres Width t dl,Itz-Gu p eL Depth <br /> Survey Submitted: Yes se,— No Date of Survey: <br /> Proposed Setbacks: <br /> Fraaf('L,ake): 340 t Right Side: I,bo` I <br /> Rear(Street): L 3 Left Side: t t,S, <br /> Adjacent Structures: N/r4- Wetland: 4///1- <br /> Building Height: Def. Hgt. U -K- Peak Hgt. 0-le- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /V 1A By: <br /> Zoning File: # — Resolution: # — Resolution Date. <br /> Shoreland District: Y dS <br /> Avg. Setback: w/,4- Bluff Setback: Al I I-- 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 />