Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERAlITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: td T�/vw <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVID: <br /> BUILDING REVIEW BY: DATE APPRO=.- 1 <br /> Misc. Fees Calculated By: <br /> FEES TO BE CHARGED <br /> PERMIT Yes _ No <br /> Yes No SEWER CONNECTION <br /> PLANS <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No i SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: - Shoreland District : y�S <br /> `` Post Office: School District: -o <br /> Fire Department: W �'t'us <br /> Lot Area: Sq.ft. � i.± Acres <br /> 5 Width Z� �3 Depth ZI <br /> Survey Submitted: Yes UL <br /> No Date of Survey: <br /> Proposed Setbacks: .Z•Z .5 <br /> F„mct (fie). 7 7 Right Side: <br /> _Rear (Street): i 3 5 J= Left Side: N 104 <br /> Adjacent Structures: +4-%'�'� <br /> {�. Wetland: 1'V k A <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: V LA_4_i VN✓`ro Bluff Setback: l /� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' Z` , <br /> 75-250' <br /> 250-500' <br /> 500-1000' — <br /> Hardcover Variance Required: Yes COL No <br /> Date of Council Approval: <br /> Grading: Staff Approval Date: <br /> W(A By; Council Approval Date: <br /> Septic: Staff Approval Date: N( A- By: <br /> Resolution: # Resolution Date: <br /> Zoning File: � Z i � <br /> R'FMARK,S. (in house): <br />