Laserfiche WebLink
CHECK O�'F' LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: �} [�5p�y�i��, ��;��,� � <br /> PID: 38� <br /> DESCRIPTION OF`VORK: �`,i.� ;�S <br /> ZOivING REVIEW BY: „ DATE APPROVED: l� � -`r� <br /> BUII�DING REVIEW BY: , . DATE APPROVED: (� � -4� <br /> �EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓1 No <br /> PLAN REV�W Yes r/' No SEWER CONNECITON <br /> STATE SITR`�IARGE Yes �/' No WATERCONNECTION <br /> INVESTIGATION FEE Yes No :/ PARK FEE <br /> SAC Y;,s =f No SITEINSPECTION <br /> Number of SAC Units �, OTHER (specify) <br /> s�:w�� c�-+-v��-s�� :�.ti:� ., <br /> ZO1�tING CHECK LIST Zoning District: ZIZ- I A <br /> Fire Depar[ment: �f�C;,lAlc.-l. Post Office: l,cZrv� C1�I�C: School District: ��zvn:,[� <br /> Lot Area: Sq.ft. Acres Width �217x;�U�i2 Depch <br /> Survey Submitted: Yes� No Date of Survey: ��� -�j� <br /> Proposed Setbacks: <br /> Front (�ce}: _ (,,5. !'� Right Side: �i�j� <br /> Rear (St�eet): b� •y. Left Side: ��(7` #�- <br /> Adjacent Structures: ti`'r!� Wetland: �' <br /> Building Height: Def. Hgt. � � � Peak Hgt. '3+ <br /> I.ot Coverage: N�� <br /> Grading: Staff Approval Date: (�'-�`�j �C'' By: �"�' Council Approval Date: —' <br /> Septic: Staff Approval Date: P'ts ( il� By: � <br /> Zoning File; # �- Resolution: # — Resolution Date: — <br /> Shoreland Dis�ict: ���_ <br /> Avg. Setback: >ti (� Bluff Setback: /'�!(✓� I.o[Covera�e: — <br /> • Eziscing Proposed <br /> Hardcover: 0-75' <br /> 75-250' i� ` L 7� �.l� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_ �� Date of Council Approval: <br /> REI�ZARI�S (in house): <br /> • 26 <br />