Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 5s-0 W A,yz-66.-rr° L-`t'� <br /> PID: <br /> DESCRIPTION OF WORK: (2Ew\o OEc- c.%4 v RCN -kms A c ACL.E. <br /> ZONING REVIEW BY: D.ATEAPPROVED: Y-1 g - os <br /> BUILDING REVIEW BY: C Nw--- DATE APPROVED: Y - o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/- <br /> PLAN <br /> /PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r/ PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units ��T<< Ate► OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RR-' <br /> Fire Department: Post Office: School District: _.. <br /> Lot Area: Sq.ft. Acres C `i Width '10O Depth <br /> Survey Submitted: Yes fC No Date of Survey: 1'2-Z"- r1 <br /> Proposed acks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> N� Wetland:a Adjacent Structures: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> rading: Staff Approval Date: By: Council Approval Date: <br /> tecOu►ce- if 2.0/0 oR sr USE 1S <br /> Septic: StaffApproval Date: D.k- Oki MAIT By: ExpAv./0 0 Sf SySTen1 FAIL S <br /> C 6L1-E2Nv4N <br /> Zoning File: 4 .5-306B Resolution: # Resolution Date: 2-2. -OS <br /> Shoreland District: Al 0 <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />