Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8`8S uj t 1 pt,,) t✓w <br /> PID: <br /> DESCRIPTION OF WORK: N C W C2 it <br /> ZONING REVIEW BY: cz::?7,f DATE APPROVED: 5 . 2_3 - o BUILDINGREVIEWREVIEW BY: , a DATE APPROVED: S- - 23 -v z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .— No <br /> PLAN REVIEW Yes e No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units 1 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes K No Date of Survey: 5• Z <br /> Proposed Setbacks: <br /> Front(Lake): c6 Right Side: y1 1 <br /> Rear (Street): ct3I Left Side: 4/5 <br /> Adjacent Structures: N/tv Wetland: 3' * <br /> Building Height: Def. Hgt. Z5" Peak Hgt. 3'7 <br /> Lot Coverage: it/ <br /> Grading: Staff Approval Date: 5-• Zi–i Z By: c;/ °• Council Approval Date: — <br /> Septic: Staff Approval Date: N IA By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V 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 />