Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 2 1 (JP 0 (A)cz 44-c. g I y ct <br /> PID: q- 118- 23 zi 0007_ <br /> DESCRIPTION OF WORK: C a N r ► C.cve s i r wed aw <br /> ZONING REVIEW BY: � DATE APPROVED: g/q J 9 7 <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes V No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: g- <br /> Fire Department: L L Post Office: L L School District: 2. 1 g <br /> Lot Area: Sq.ft. Acres 2 . S Width 5/6 81 Depth 3 3 LI• ?Co <br /> Survey Submitted: Yes ✓ No Date of Survey: 7- 8- 9 9 <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 2 7 0 <br /> /I 1 / $) <br /> Rear (Street): l0 Left Side: (O <br /> Adjacent Structures: I.2 Wetland: <br /> 1 <br /> Building Height: Def. Hgt. I $ Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> 2 5 0 2 Resolution: # X712.3 Resolution Date: 7 2 (O 1 ci 9 <br /> Zoning File: # <br /> Shoreland District: N V <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 P Date of Council Approval: <br /> REMARKS (in house): C crl) ,\ S\JJl cxv• c o v. s <br /> Sb+2 �t c�c��e �cry.7- S 9q d.. S S.�t�-����i �n �.����e.-d- �J <br /> L911 s Uhf cam& )9 cx_kr f el-SVW"V - <br /> ( o p-4 AI \-y <br />