Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 91 L(J-/1 c, �- <br /> PID: <br /> DESCRIPTION OF WORK: dcc.K YvAynctuuS� <br /> ZONING REVIEW BY:: DATEAPPROVED: 7/Z 5f7Of <br /> BUILDING REVIEW BY: ,--1-511:„ _ DATE APPROVED: -7 - -c�c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes t/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No s-" PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: - I <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. • Acres Width Z OS- Depth 3' 7 <br /> Survey Submitted: Yes 1,/ No Date of Survey: l q g/3 <br /> cap,r ham;/1-kr ha <br /> Proposed Setbacks: <br /> Front(Lake): 47�� <br /> -fit Side: <br /> Rear(Street): t%Y1 b/acl(a`6c1Le ft Side: 78 P YOpe-ff tcf <br /> Adjacent Structures: S m A.4.47 /S /4-/�she. - <br /> Wetland: , �i <br /> Building Height: Def Hgt. /?/-3• Peak Hgt <br /> F �-A" <br /> Lot Coverage: <br /> Grading: Staff Approval Date: n a <br /> By: Council Approval Date: <br /> Septic: Staff Approval Date: IU,4 By: W G' <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 1/ MCWD Permit: <br /> Avg. Setback: Bluff Setback. Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' O / <br /> 500-1000' <br /> Hardcover Variance Required: Yes No V Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />