Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (o S v N 0 61�W N i��D <br /> PID: <br /> DESCRIP'TION OF WORK: /a Q�J��� <br /> --------------------------------------- ------- ----------------------------------------------------------------------- <br /> ZO\ING REVIEW BY: DATE APPROVED: �7—6 -6� <br /> BUILDING REVIEW BY: DATE APPROVED: �_ 6 ��v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �-2' 1 J9 <br /> Fire Department: (:o,uc. (p1c..� Post Office: (,�ivc,U-IC.v School District: t�2-e�0 <br /> ,�—�_ <br /> Lot Area: Sq.ft. Acres 3.g3 Width Depth <br /> Survey Submitted: Yes sL No Date of Survey: 3-2�-5�� <br /> Proposed Setbacks: <br /> �snt (Lake): 3Q�Q ' Right Side: 3v-3 <br /> � <br /> �ear (Street): 63 Z Left Side: 1�Z. <br /> Adjacent Structures: �7'T'�c,(-r,...� Wetland: /v�/� <br /> Building Height: Def. Hgt. C�� �G Peak Hgt. <br /> Lot Coverage: /✓//'* <br /> Grading: Staff Approval Date: — By: -� Council Approval Date: '—' <br /> Septic: Staff Approval Date: �-- By: — <br /> Zoning File: # 2J� Resolution: # �/33Z- Resolution Date: <br /> Shoreland District: <br /> Avg. Setbac : ll A-2c q„n.� Bluff Setback: N� �- I.ot Coverage: N� p� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s-Zso� �, �� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No L Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />