Laserfiche WebLink
i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 160 W E t-1(c�-5 -O ) <br /> PID: <br /> DESCRIPTION OF WORK: AAA i -r- oN <br /> ZONING REVIEW BY: ,Sy�o DATE APPROVED: i- '.(- o 5 <br /> BUILDING REVIEW BY: 0 L(QA,,,„____ DATE APPROVED: j_ q_ 0 5- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT 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 - SIThINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: R 2-) (3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. y S,C1 3 Acres I . o S Width i`Zd Depth <br /> Survey Submitted: Yes A No Date of Survey: i 1- V.3 - 0 5' <br /> • <br /> Proposed Setbacks: <br /> Front (Lake): `13 ci Right Side: 'i <br /> Rear(Street): 11-E,-) Left Side: '41.3 <br /> Adjacent Structures: n) I Wetland: N (A- <br /> Building Height: Def. Hgt. t ' \L. Peak Hgt. — <br /> Lot Coverage: b 970 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 05-3)S) Resolution: # Resolution Date: <br /> Shoreland District: jr./ <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 /> 7 <br />