Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY- <br /> ADDRESS OR LEGAL: A-( 2 A i A Q l L1 <br /> PID: <br /> DEs cR rloN of woRx: r cry. onG c� dm-e ,,old <br /> G„ <br /> ZOTTNG REVIEW BY: Com- DATE APPROVED: <br /> w BY: DATE APPROVED; Z - i5- 7. <br /> BUILDING REVIEW <br /> PEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes —z- No <br /> PLAN REVIEW Yes No SEVER CONNECTION <br /> STATE SURCHARGE Yes No wATERCONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONI IG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: • 1 <br /> Front(Lake): Right Side: no 1 <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def, Hgt. Peals Hat- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: 1 By: w 6- <br /> Zoning File: Resolution: r Resolution Date: <br /> Shoreland District: <br /> Ava.;. Setback: Bluff Setback: LotCoveraje: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-5(1J' <br /> 500-1COO' <br /> �??�CCO':e' Z:%^C2 i't•'_ C!r2i1: �iJ2� Q D a <br /> P."Tpg SKS (Lri holL5* <br />