Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12.50 W opo t-4t LC. <br /> PID: <br /> DESCRIPTION OF WORK: (ZE[zoo t .t- CoA -ttiter c-,5 <br /> ZONING REVIEW BY: N/A nn DATE APPROVED: <br /> BUILDING REVIEW BY: �/( [�C DATE APPROVED: to-19-a'� <br /> FEES TO BE CHARGED: QQ Misc. Fees Calculated By: <br /> PERMIT Yes t/ 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 --- SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 4JO C heAry <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sgft. Acres Widt Depth <br /> Survey Submitted: Yes No Dai• of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By: <br /> Zoning File: # Resolution: # Resolu''on Date: <br /> Shoreland District: MMMCWD\Permit: <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 6 ariance Required. Yes No ate of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />