Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 O 0 - T -I-0A <br /> (- <br /> PID: <br /> DESCRIPTION OF WORK: N E ks 12L,5 <br /> ZONING REVIEW BY: _ DATE APPROVED: 43 - -00 <br /> BUILDING REVIEW BY: 0 y (, DATE APPROVED: -0 - - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,,/. No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WA LER CONNECTION <br /> INVESTIGATION FEE Yes No — PARK FEE <br /> SAC Yes c/ No S1 hINSPECTION <br /> Number of SAC Units 1. OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L R-1 a <br /> Fire Department: YYl II u 6/1.0 Post Office: VN-o v IQ 16 School District: UJ STo J Kh <br /> Lot Area: Sq.ft. 9-(4 60-- Acres I. ()1. Width 1 93 Depth 2414/ AU-C <br /> Survey Submitted: Yes (� No Date of Survey: '7• -00 <br /> Proposed Setbacks: <br /> Freat(Lake): i 01,1 Right Side: I 1 •1 <br /> Rear (Street): 9 0 ' Left Side: L 3 <br /> Adjacent Structures: A) A Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. 33 <br /> Lot Coverage: O,14,- <br /> Grading: Staff Approval Date: 'i - 0° By:0,0 - Council Approval Date: <br /> Septic: Staff Approval Date: t By: <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: p5 <br /> Avg. Setback: O IV_ Bluff Setback: N I it- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' u 0 <br /> 75-250' 0 -&-to-41 Z(.( <br /> 250-500' U 0 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No se Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />