Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> Y <br /> ADDRESSOR LEGAL: LJLA O ���;,, (2. AV6 S0071.i <br /> PID: <br /> DESCRIPTION OF WORK: G 4 2A4 t� Y�6z,T1 o r,= <br /> ----------------------------------------- ----------------------------------------------;----------_-------- <br /> Do <br /> ZONING REVIEW BY: DATE APPROVED• <br /> BUILDING REVIEW BY: DATE APPROVED: 7-in <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: g(�' �$ <br /> Fire Department: Lot k„ pct_ Post Office: [Acct% School District: t"Aly <br /> Lot Area: Sq.ft.'Z110g3ct Acres 063 3 Width l6tL� U A-2 Depth — <br /> Survey Submitted: Yes X No Date of Survey: 9 - '2.1-7 a <br /> Proposed Setbacks: <br /> c <br /> Front (fie): [f Right Side: <br /> Rear (Sheet): i to 4 r = Left Side: <br /> Adjacent Structures: Wetland: cti'1 !} <br /> Building Height: Def. Hgt. C).1C_ Peak Hgt. <br /> Lot Coverage: O.IG <br /> Grading: Staff Approval Date: N ! By: Council Approval Date: <br /> Septic: Staff Approval Date: N � 6 By: <br /> Zoning File: # 2-0-1 '1 Resolution: # 3 b`(y Resolution Date: 1( -2-1 -C S <br /> Shoreland District: W <br /> Avg. Setback: Bluff Setback: <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 /> 10 <br />