Laserfiche WebLink
.. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: M 1065- INE 5 i GRAmc-t4 <br /> PID: <br /> DESCRIPTION OF WORK: �..�p 1 n e/Q <br /> ZONING REVIEW BY: 1, 1. I, _ DATE APPROVED: ! 2 .30-5'7 <br /> BUILDING REVIEW BY: �� �� DATE APPROVED: r Z• 30.5 7 <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 SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: ,Q12. 18 <br /> Fire Department: Mou r.►p Post Office: 'u^tD School District: -)C 71, k'& <br /> Lot Area: Sq.ft. 5$3 ,I t> Acres 2.02 Width 2-71 .2.7 Depth 3 (5 <br /> Survey Submitted: Yes V. No Date of Survey: o N t=t w <br /> Proposed Setbacks: , <br /> Front(Lake): / S' Right Side: 2 00 + <br /> Rear (Street): 1 SS Left Side: (v 5 -1-- <br /> Adjacent <br /> Adjacent Structures: /41-T4GH•ca/ Wetland: /V//} <br /> Building Height: Def. Hgt. 0, Peak Hgt. – <br /> Lot Coverage: ('l (A <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 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 />