Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12 W v.) vdz.sT T rz4\ ic_ <br /> PID: <br /> DESCRIPTION OF WORK: G/tsza6E Aoa -r 1. ANO Fin;( K game <br /> ZONING REVIEW BY: DATE APPROVED: t - 1 yG BUILDING REVIEW BY: U (Q _ DATE APPROVED: t- -a z <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Ames y3,353.2'-( Width Depth <br /> Survey Submitted: Yes .. No Date of Survey: 9-2.-0 2- <br /> Proposed Setbacks: <br /> Front(Lake): 27....5 '! Right Side: p' <br /> Rear(Street): 35' - Left Side: SD i <br /> Adjacent Structures: ' Wetland: <br /> Building Height: Def. Hgt. to. Peak Hgt. — <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: .j2 S <br /> Avg. Setback: 4.7. K Bluff Setback: N/R Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' p <br /> 75-250' 9.5 <br /> 250-500' . 3 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): Zoo r- ou tvw -, ? • f__.•1 • I - .4:04 <br /> P4rWci 64 <br />