Laserfiche WebLink
-CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY. <br /> ADDRESS OR LEGAL: 17 D e. <br /> PID: • <br /> DESCRIPTION OF WORK: z."4 /1cceyS s ,mss <br /> ZONING REVIEW BY: _ ,z(?), F/ DA:].'}APPROVED: 8 -2-0 <br /> • <br /> BUILDING <br /> REVIEW BY: /,4f/ DATE APPROVED: e-z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J/ No <br /> PLAN REVIEW Yes No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes I/ No WATER.CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes • No SITEINSPECTION <br /> Number of SAC.Units OTHER (specify) <br /> /ZONING CUIRCK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> • <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted:• Yes No Date of Survey: <br /> • <br /> • <br /> Proposed Setbacks': <br /> Front(Lake): Right Side: • <br /> Pear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: AfA By: t��L <br /> Zoaing File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverzge: <br /> i✓ fisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ar Ya_ once ReGure' �i <br /> : e3 No D_:_ v. Cou.__j A = <br /> 1�_CCo`%er <br /> PE ARKS (Ln hoe): <br />