Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 210­1 <br /> PID: <br /> DESCRIPTION OF WORK: to <br /> -------------------------------------------------------------- <br /> ZONLNG REVIEW BY: co, DATE APPROVED: to•v 3" <br /> BUILDING REVIEW BY: DATE APPROVED: •2 - <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No -/ PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONL tG CHECK LIST Zoning District: <br /> Fire Department: ' Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes _ No Date of Survey: ocr 6 9-7 <br /> Proposed Setbacks: <br /> Ffeat(Lake): Right Side: gs" <br /> Rear (Street): /Y7 "--"r- Left Side: Z S <br /> Adjacent Structures: N/.4' Wetland: N/f1 <br /> Building Height: Def. Hgt. At Lj} Peak Hgt. -- <br /> Lot Coverage: O• <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: •e <br /> Avg. Setback): Bluff Setback: Iv 1 ii Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_ X Date of Council Approval: <br /> REMARKS (in house): <br />