Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECK OFF LIST FOR ISSUANCE OF PERTNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 21001 C,uA, R��PID: <br /> DESCRIPTIO\ OF «'ORK: AtO t'f10 t' <br /> -- ---------- <br /> ----------------------------- <br /> ZO\I G REVIEW BY: tom— DATE APPROVED: /o-Z6-SS <br /> BUII.DL\G REVIEW BY: DATE APPROVED: I0•7�•ys' <br /> ----------------------------- <br /> -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERtiIIT 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 SITE INSPECTION <br /> Number of SAC Units _ OTHER (specify) <br /> --------------------------------- <br /> ZONL\G CHECK LIST Zoning District: Ll2'l Shoreland District y�S <br /> Fire Department: N - Post Office: <br /> School District: <br /> Lot Area: Sq.fr. <br /> Acres Width _ Depth <br /> Survey Submitted: Yes X- <br /> No Date of Survey: <br /> Proposed Setbacks: S <br /> Front (Lake): /�(A Right Side: 5� <br /> Rear (Street): -]7 t Left Side: 7� N <br /> Adjacent Structures: 4,r7AC,%+-e1/2 Wetland: N (R <br /> Building Height: Def. Hat. Peak Hat. <br /> Avg. Setback: — Bluff Setback: —" Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 3` <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes X No Date of Council Approval: /D-9- IS <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> septic: Staff Approval Date: By: <br /> Zoning File: n ZD--)-3 Resolution: Resolution Date: 10- `7- 1 S <br /> REiVIARKS (in house): <br /> 26 <br />