Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 30-3S C.&sc-o •Po(Av i (ZoA-y <br /> PID: <br /> DESCRIPTION OF WORK: <br /> --------------------------------------- ------------------ ------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 1,)- 2.S-S 7- <br /> BUILDING REVIEW BY: DATE APPROVED: ( 0 -2-15-5 5 <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 WATERCONNECTION <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 2-/C <br /> Fire Department: M o u"/J Post Office: w Ai j%A-r 4 School District: <br /> Lot Area: Sq.ft. ZM,13 u Acres . 156 Width Depth <br /> Survey Submitted: Yes No Date of Survey: eB -Z 9 6 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> 5 r 0 v eft. (--hA-rjc,/w <br /> Rear (Street): Left Side: CX t -%T-? ,v t�Je�s 3, <br /> No GH/i�rvge t of (=aun�,pATtON <br /> Adjacent Structures: Wetland: t�JJ <br /> fj Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Se tic: Staff Approval Date: By: <br /> Zoning File: # 2S u Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: iv(A Bluff Setback: /1J Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 13.V _73A.- <br /> 75-250' <br /> 73•(•75-250' S g•27 57.(o <br /> 250-500' act•`•I 3cl-`1 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: '1- Z-7-55 <br /> REMARKS (in house): <br /> 7 <br />