Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;��;a S_ 3(���.c-nj �o.� <br /> PID: <br /> DESCRIPTION OF WORK: R r�;,�o�/!�-�c hl � A�p � �C iv" <br /> ----------------------------------------------- ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: `.L S-�� <br /> BUILDING REVIEW BY: DATE APPROVED: � .Z S- 9 g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION . <br /> STATE SUR:f-�ARGL Yes l/ No WA'I'ERCONNECTION <br /> INVESTIGA'I'ION �EE I'es No PARK FEE <br /> SAC Y,;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------�------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /Z jl- /�3 <br /> Fire Department: (��v G (�1� Post Office: (!uN (I�tGt School District: 0��� <br /> Lot Area: Sq.ft. 3$�, p$� Acres g.17 Width 1f1ju;�3�q./t„ Depth <br /> Survey Submitted: Yes OC No Date of Survey: I- ig -g�}' <br /> Proposed Setba�ks: <br /> r <br /> Frer�t (Lake): _ 31�6� Right Side: � 13 <br /> Rea�r (Street): �3 0� � Left Side: ti 20� <br /> c <br /> Adjacent Structures: R�1y'+u-�� Wetland: �D � <br /> Building Height: Def. Hgt. (9.�� Peak Hgt. — <br /> Lot Co�erage: � �1� <br /> Grading: Staff Approval Date: � 'Z�' �� By: �� Council Approval Date: ' <br /> Septic: Staff Approval Date: ivv er�q�.a 2 By: o�•d <br /> Zoning File: # — Resolution: #� '— Resolution Date: <br /> Shoreland Dist��ict: y�Q 5 <br /> Avg. Setback/t///�' Bluff Setback: — Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' �` �� <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No � Date of Council Approval: <br /> REMARKS(in house): <br /> � 26 <br />