Laserfiche WebLink
CHEC� OFF i�IST FOR ISSUANCE OF PERI�IITS <br /> ADDRESS OR LEGAL: j (���� OF�C��U�F�OIVT,,� ��;�� <br /> � �r' <br /> PID: r <br /> DESCR�'IrION OF WORK: � ' ' r ' � j�`' �� �� �� <br /> ZO.�i G REVIE�V BY: r--------- DATE APPROVED: <br /> SUILDING REVIEtiY BY: DATE APPROVED: <br /> FEES TO BE CHARGED:^ Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIE`V � Yes No SEWER COi�1NECTTON <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 /> ZONIIIG CHE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Loc Area; Sq.ft. Acres Width Depth <br /> 5urvey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fronc (Lake): R.i�t Side: <br /> Rear (Street): Left Side: _ <br /> Adjacent Structures: Wetland: <br /> auiluin� Heioht: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Cour \� (, L � <br /> � / 7/ <br /> Septic: Staff Approval Date: �Y� �, �-= <br /> • o ' Resolutioa: � Resolution' /' V /� �I <br /> Zo�n� F�le: # <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: /.(/ / <br /> Eciscing C � <br /> Hardcover; 0-75 <br /> 75-250' <br /> 2�0-500' <br /> 500-1600' <br /> Hardcover Variance Required: Yes No Da�e of Council Approv�. <br /> �E`L4RKS (in house): <br />