Laserfiche WebLink
r <br /> ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( 0-70 C-O N lCAU-3 A <br /> PID: <br /> DESCRIPTION OF WORK: Z r-ccf 1-t� rl4DD r7 oN <br /> ZONING REVIEW BY: _ DATE APPROVED: 6 <br /> BUILDING REVIEW BY: DATE APPROVED: -i( S 5 <br /> --------------------------------------- -------------------------------------------------------------------- <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LISTW Zoning District: w o c L� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oC No Date of Survey: 0" (-:'1 L.A::f <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: — Council Approval Date: <br /> Septic: Staff Approval Date: AJ (A By: <br /> Zoning File: # Resolution: # - Resolution Date: <br /> Shoreland District: yj'" <br /> Avg. Setback: 0.1c- Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' /Vo <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />