Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERINIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 5 Zo w A TeR r 0—J+-1 t7�u <br /> PID: <br /> DESCRIPTION OF WORK: K r c t'k e,J IZ, w �- <br /> ZOrfi'G REVIEW BY: DATE APPROVED: 3 Z`!-W <br /> BLZLDLN. G REVIEW BY: DATE APPROVED.; -3-ZY -o- <br /> Jy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONI NZ TION <br /> STATE SURCHARGE Yes (/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEI�i TSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONE'G CHECK LIST zoning District: Nn GA LS <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq-ft- Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right ide: <br /> Rear (Street): Left S de- <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hot. Pea';Hat. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ack: LotCo��raoe: <br /> Ezistina Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> REIiA.RKS ('in house): <br /> 7 <br />