Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z`1 bO L J( R C�2CL <br /> PID: <br /> DESCRIPTION OF WORK: `cic. <br /> ZONING REVIEW BY: t1,,._ DATE APPROVED: 9 -zz -943 <br /> BUILDING REVIEW BY: AMU DATE APPROVED: 5- 2 i g r <br /> 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: (b AJ j tA,ice Post Office: (,.C31JY# L44L School District: 042.(3N0 <br /> Lot Area: Sq.ft. Nu GWAcres Width Depth <br /> Survey Submitted: Yes d No Date of Survey: 0"--f <br /> -s <br /> Proposed Setbacks: _ <br /> Front(Lake): I c7 5 Right Side: f57 ' <br /> Rear (Street): 5-(1. 3 Left Side: 1(90. �= <br /> Adjacent Structures: /tTTACA-1-60 Wetland: /i /6 <br /> Building Height: Def. Hgt. C7 , (<— Peak Hgt. <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 /> N,1 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 /> 7 <br />