Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: I S 0 0 C l-4 ( A L <br /> PID: <br /> DESCRIPTION OF WORK: - V ., - I4 <br /> ZONING REVIEW BY: cif I DATE APPROVED: to •Zs_cro <br /> BUILDING REVIEW BY: / _ =,„.. DATE APPROVED: id- y•s-oma <br /> , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes L' . No SEWER CONNECTION <br /> STATE SURCHARGE Yes V No WAftR CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: G/L- <br /> • <br /> Fire Department: CMN (.4.k;? Post Office: be, ( c- ' School District: <br /> Lot Area: Sq.ft. Arco CMOvi Acres Width Depth <br /> Survey Submitted: Yes x No Date of Survey: (6- - 0 O <br /> Proposed Setbacks: <br /> Front (Lake): S Right Side: -7S-01 <br /> Rear(Street): `S S ` Left Side: LtO ' t <br /> Adjacent Structures: Zoo` Wetland: i..i//} <br /> 1-' cs �-- <br /> Building Height: Def. Hgt. 4s ` Peak Hgt. — <br /> Lot Coverage: /0 /,4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Ai c.2 <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 />