Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-1 2.0 W t i. Oro K Gt 0-cAZ <br /> PID: <br /> DESCRIPTION OF WORK: AK)C Ty(51.) <br /> ZONING REVIEW BY: P . S DATE APPROVED: 5--2 3 57 <br /> BUILDING REVIEW BY: ' X 11 DATE APPROVED: s-z3 97 <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 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: t22- !G <br /> Fire Department: (AD r sr5AK,�. Post Office: 1�N (,4 tc,c, School District: 0t2.pn(0 <br /> Lot Area: Sq.ft. /Vo Gf-haf t Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: ON Fick 1(-6-S <br /> Proposed Setbacks: <br /> Front (Lake): 12.0 Right Side: 2.OBI + <br /> Rear (Street): 10'-f .5 Left Side: 17.0 <br /> Adjacent Structures: pQ7T/}-G{'f EYO Wetland: 0 (44 <br /> Building Height: Def. Hgt. ZS Peak Hgt. 3 e <br /> Lot Coverage: O. <br /> Grading: Staff Approval Date: 5-Z3 -5 By: 0• Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> (k). 7 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 /> 10 <br />