Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: it'll i Lot-\ J( 5T -t OA- <br /> DESCRIPTION <br /> DESCRIPTION OF WORK: A>0 p,r 0 n. <br /> ZONLNG REVIEW BY: _c DATE APPROVED: // '2G -00 <br /> BUILDING REVIEW BY: ( DATE APPROVED: 1 I - 2f-► -Oa <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ,/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WAft.R CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI l l✓INSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CNF CK LIST Zoning District: L f2 -/g <br /> Fire Department: Mrokira/3 Post Office: WWil A.N3 School District: U- e�T`a <br /> Lot Area: Sq.ft. (, •c 5 Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: '7- 1-7 - 'SM <br /> Proposed Setbacks: <br /> Front( ee): Z 0 .- Right Side: c9'o <br /> Rear (Street): , 2 Ste ` Left Side: 1`(0' <br /> Adjacent Structures: , f (1 C Wetland: — <br /> Building Height: Def. Hgt. d,1z Peak Hgt. 0, <br /> Lot Coverage: p /- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: - By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: i\.) 0 <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 />