Laserfiche WebLink
CHECK OFF LIST FOR ISSUAl�TCE OF PER�1�fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z. ► 35 C a r�(L i ��� Ct�t�v c= <br /> PID: � - — <br /> DESCRIPTION OF WORK: ��1 <br /> ZO�i'G REVIE`V BY: DATE APPROVED: b -� 3 -�� <br /> BUII.D�TG REVIEW BY: DATE APPROVED: ,, -� � —�a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �i No SEWER CO�INECTION <br /> STATE SURCHARGE Yes �/ No WAT�RCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Ui Z01tL�C7 CH�CK LIST zoni.ng Districc: <br /> � Fire Department: Post Office: School District: <br /> G t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes /( No Date of Survey: c��! F i l� <br /> Proposed Setbacks: � <br /> Froat(Lake): (10� Right Side: l bo ` 'r <br /> Rear(Street): (uo � '�'" Left Side: (�� � '�'� <br /> Adjacent Structures: 3� ` �Vetland: N��'` <br /> Building Height: Def. Hgt. � Peak Hgt. -- <br /> Lot Covera�e: <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: L,otCovera�e: <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 /> RE�ZARKS (in house): <br /> 7 <br />