Laserfiche WebLink
. � <br /> CHECK OFF LIST FOR ISSUANC OF PERMITS <br /> FOR OFFICE USE ON Y <br /> AI�DRESS OR LEGAL: �l I o S (3Ay si�J� /20 <br /> ' PID: <br /> DESCRIPTION OF WORK: /�,p ,�,�► <br /> . � ----- -------------- -----------------------� y--y-- <br /> ZO.vI�1i G REV�W BY• DATE APPROVED• 2 cr3 <br /> BUILD�TG REV�`V BY: DATE APPROVID; �l-2y-a 3 <br /> FEES TO BE CHARGED: Misc. Fees C lculated By: <br /> PERNSIT Yes ✓ No , <br /> PLAi�1 REVIEW Yes ✓ No SEWF.R CONNECITON <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC"TION <br /> Number of SAC�Units OTHER (specify) <br /> -- -------------------__--- _------------------+--------------------------------------- --- <br /> ZONING CH�CK LIST zoning Districc: i <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date f Survey: o�.► (-'►u`'- <br /> Proposed Setbacks'. � � ' � � <br /> Front (Lake): 1�i�� � Right Side: � �S __ <br /> . <br /> Rear(Street): 3� � Left Side: I�7 <br /> Adjacent Structures: Arn4c.t�,�-� �Vetland: N(�R' <br /> Building Height: Def. Hgt. p.l� Peal:Hgt. _i <br /> � <br /> Lot Coverage: N (/'� I <br /> Gradina: Staff Approval Date: U•(,C By: � Council Approval Date: <br /> Septic: Staff Approval Date: �j( �� BY: <br /> Zoning File: # — Resolution: # Res ution Date: <br /> Shoreland District: No <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE1�IARKS (in house): <br /> 7 <br />