Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 Z t_Lo `.1 l (w * ' t-- <br /> PID: <br /> DESCRIPTION OF WORK: Ns t=l,� tom S . <br /> Z ONLNG REVIEW BY: DATE APPROVED: !®•t i - t -(90 <br /> BUILDING REVIEW BY: yO DATE APPROVED: -1 0 0 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t.- No :. <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA1"hl:tCONNECTION <br /> INVESTIGATION FEE Yes No i— PARK FEE <br /> SAC Yes ,/ No SIThINSPECTION <br /> Number of SAC.Units 1 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L-42.-\( <br /> Fire Department: CA,NC0 LA tt.-r± Post Office: Leo& C}-(1 School District: &1Z4.&)0 <br /> Lot Area: Sq.ft. -l3,3 caO Acres 1.(o C Width rZtu.61/4-) Depth <br /> Survey Submitted: Yes x No Date of Survey: (o-2-9 -OD <br /> Proposed Setbacks: <br /> Front(Lake): -7(p• 2.-cg Right Side: Z <br /> Rear (Street): 140' Left Side: <br /> Adjacent Structures: ki (yq Wetland: N69 <br /> Building Height: Def. Hgt. 'c Peak Hgt. 3`8 <br /> Lot Coverage: ;6-0-70 <br /> Grading: Staff Approval Date: I I - I - C2 c) By: 9 'o • Council Approval Date: — <br /> Septic: Staff Approval Date: IV 1 A By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /1/0 <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 />