Laserfiche WebLink
CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I � I� �A�l � u � <br /> PID: <br /> DESCRIPTIDN OF WORK: �/ q- �.h �„�(,�,�,�r„� �, <br /> ZONING REVIEW BY.• �� ,�,� y� DATEAPPROVED: /7 A / 7/O�J <br /> BUILDING REVIEW BY.• _ DATEAPPROT�ED: t-�o -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � ����'� �r <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes t� No SEWER CONNECTION <br /> STATE SURCHARGE Yes f No WATER CONIVECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No_� SIT�INSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECIC LIST Zoning District: /V O ���� ��� � � '-'��____ <br /> , <br /> Fire Department: Post�ce: _ ool District: <br /> Lot A��ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> F�ront(Lake): Right Side: <br /> Rear(Streel): Left Side: <br /> Adjacent Structures: Wet and: <br /> Building Neight: Def. Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By.• Council Approval Date: <br /> Septic: StaffApproval Date: By.�,�f, l�� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback. LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcove�• Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />