Laserfiche WebLink
CHEC� OFF i.IST FOR ISSUANCE O�' PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �O 3 2►�D�c:(�,J�4 Z�2 �O/Z.• <br /> PID: (�r �3 Q�U� `f <br /> DESCR�TION OF WORK: /'VC w �2�:S <br /> --- ------_—_____t------------------------- <br /> ZOYI1i TG REVIE�V BY: � M P Co DATE APPROVED: g-z5 -0 6 <br /> SUILDING REVIE�V BY: DATE APPROVED: t� •29 . o c. <br /> FEES TO BE CHARGED: Misc, Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes ✓ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes �/ No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes �/ No SITEINSPECTION <br /> Number of SAC�Units � OTHER (sgecify) <br /> ZONi�G CHECK LIST Zoning Districr. �. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Wid[h DepCh <br /> Survey Submitted: Yes _� No Date of Survey: �3• 23-U �- <br /> Proposed Setbacks: <br /> Froat (Lake): O Riaht Side: 5 <br /> Rear (Street}: (� L�ft Side: D <br /> Adjacen[ Structures: q r►-�u+c7'J Wetland: N 1✓-1 2 6 � <br /> Suildin� Hei�ht: Def, Hgt, (�,J� Peak Hgt. <br /> Lot Covera�e: N I/1 <br /> Grading: Staff Approval Date: — By: Council Approval Date: ' <br /> Septic: Staff Approval Date: � �Y� <br /> Zoain� File: # � Resolution: � Resolution Date: <br /> Shoreland District: �JO <br /> Av�. Setback: Bluff Setback: Lot Covera�e: <br /> Ezisting Proposed <br /> Hardcover: Q-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-100fl' <br /> I-ia:dcover Va�iance Required: Yes No Da[e of Council Approval: <br /> R.E��L4R�S (in house): <br />