Laserfiche WebLink
� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL� <br /> ADDRESS OR LEGAL: �:��� f����� j?�� , ��,-�ts..-�, <br /> PID• C� .a ��7 - �� .,? � ���a > <br /> DESCRIPTION OF WORK: ��,�2.�-�'�� -- ��v,��a�'� �rJz� <br /> ---------------------------------------- --- ---------------------------------------------------------^----_c----- <br /> ZONING REVIEV�I BY: �� � �r�' ,�-�.,,� <br /> � DATE APPROVED: I �'� �� <br /> BUILDING REVIEW BY: =,S`�, ��� yti,���,��� DATE APPROVED: ( �-���( -�i`� <br /> ---------------------------------------------=-------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ►� No <br /> PLAN REVIEW Yes ,/� No SEWER CONNECT'ION <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: f��- 1 C� <br /> �Fire Department: ( ��r�c��-Wf�.:= Post Offce: (r�n�t, �-�����- School District: C`��p���i � <br /> �Lot Area: Sq.ft. Acres Width Depth <br /> � Survey Submitted: Yes No Date of Survey: <br /> ' Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> � Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> � Lot Coverage: <br /> � � <br /> �� � Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SOQ-lOOO' <br /> ; Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> 10 <br />