Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zia t w c� <br /> PID: <br /> DESCRIPTION OF WORK: 4-00 n J,‘J / Do ec- <br /> ZONING REVIEW BY: DATE APPROVED: /0 -(0'0> <br /> v - o <br /> BUILDING REVIEW BY: ��i.��.� DATE APPROVED: ( r - <br /> � <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: G2' i 6 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3,S.75 Acres I.'i 1 Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: cc3 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: /V a C (4Ar`1 <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. 0,k_ Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # D 3.21'S Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: \ 44c0,.._.,c.e 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 />