Laserfiche WebLink
. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 3�Z� Cf�SC�o A�t Cr <br /> PID: <br /> DESCRIPTION OF WORK: dqs�.,-,n,��,; ��ni �sN- <br /> ZO�TG REVIEW BY: IJ I� DATE APPROVED: <br /> BUILDING REVIE`V BY: �,,,� ( DATE APPROYED: /�-r�-a z..: <br /> — _________- —____�,--- ----------------------------------------------- -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes �/ No <br /> PLAi�I REVIEW Yes v' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes (/ No WATERCONNECfION <br /> INVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �1Iv Gl-tq�vG� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth 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: Wetlan : <br /> Building Height: Def. Hgt. Peal:H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />