Laserfiche WebLink
• <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 15 l i o rJ 1-41 L L. iZ 0 <br /> PID: <br /> DESCRIPTION OF WORK: C,,Li , <br /> ,�J,�� <br /> ZONING REVIEW BY: \r , DATE APPROVED: 10- 145 - coo <br /> BUILDING REVIEW BY: /, (I DATE APPROVED: u- -aa <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 WAIERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No Si l±.INSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> r—Z ONEN G CHECK LIST Zoning District: <br /> N ,k�Fire Department: Post Office: School District: - <br /> Lot Area: Sq.fc. Acres Width Depth <br /> Survey Submitted: Yes�- No Date of Survey: or-, FI <br /> Proposed Setbacks: <br /> Front(Lake): 7 1"- Ric'-:Side: l'6 O <br /> Rear (Street): 3 at <br /> �- Left Side: y $-0 <br /> Adjacent Structures: 2.5u` Wetland: <br /> Building Height: Def. Mgt. — Peak Hgt. — <br /> Lot Coverage: N Or <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: /w <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 />