Laserfiche WebLink
CHECK OFF LIST FOR ISSUA.NCE OF PERMITS <br /> ' OR OFFICE USE ONLY" <br /> ADDRESS OR LEG_AL: 3 I '? C yf 5�o � �r G,�� <br /> PID: <br /> DESCRIPTIOIV OF ii'ORIi: ,(,(.,' 'f C,�s�, � ��j�� � G��,��/v S <br /> ___________ ���i� <br /> C � <br /> ZONING REVIEl�%BY.r ~ c� I� M�� DATEAPPROVED: �j PCt C' �� <br /> B UILDING RE[�IE N'BY.• DATEAPPROT�ED: �(- �5'= o S <br /> FEES TO BE CFLARGED: Misc_ Fees Calculated Bv: � ~Y �Y ~ �r <br /> PERMIT Yes �/ No � <br /> PLA1�'REVIEW �es _/� No SEN'ER CONNECTION <br /> STATE SI�RCKARGE I es �/ No YI ATER CONNECTION <br /> I_NVESTIGATIDIV FEE �es No � PARK FEE <br /> SA C I es No SITE A'SPECTION <br /> Number of S�IC linits pq,4 � �� �_z�•g,� OTHER �spec�) <br /> ---------------------------_______�______ <br /> ZONING CHECK LIST Zoning District <br /> Fire Departnsent: Post Ofj?ce: School District: <br /> Lot Ai•ea: Sg.ft. ���� � � <br /> Acres YG'idth ��G Depth ��� <br /> Survey Submitted. 3'es ✓ No Date of Su�vey: i�� �7 ���/ �!s��� <br /> Proposed Setbacks: n�,�.`:�� �7 �t�/� l� b,aS��rz�� �"�'6CN <br /> �re►�(Lake): s�2ig�rt�ide: �� Z- — ��/� P Q4 k /Y`i h�y�.Q s l�!h r(� <br /> ; , > i 2 <br /> -f�e�s�(Sd�eeO: ��� �a�-Side: /2 - � — <br /> ��' S� r.���� fio��- <br /> .9djacent Structures: �q' YF'etland. <'1/'�' ���- �,�nrUL <br /> � /C� �7 i j <br /> ' 2 ' / 2 . S <br /> Building Hei�ht Def Hgt. Z7 Peak Hgt. J� <br /> U �7 , C� <br /> Lot Coverage: � S <br /> ,/-i-m wr c�'s e.ti <br /> Grading StaffApproval Date: �+ ��t�>/roC� Bti': F�i L7 UP> Council Appi-oval Date: �— <br /> Septic: StaffApprova/Date: _� t-� B�, � <br /> Za�ing File: k 0_ ����j�j R�solutio�7: # Resol 2(��� :� <br /> Shoreland District: /a `� <br /> MCT��D Pe���ni(: � :� _}� � �� -'� � • <br /> Avg. Setoac�: B1z�Setback: r �o. <br /> Exisiin�, n Prroposed <br /> Hardcover•: 0-'�' 2 C� � <br /> 'S-�50' /,� <br /> _'.i O-.i DO' .e 1 i G�., �V � 2 r I G/U <br /> -�1---�LL � <br /> son-loon� <br /> h'ardcover 1 ar-iarzce Reqz�ired: }'es_�I�'o Date of Cozuzcil,�3pproval: ��v� <br /> REMARfiS(i�7l:ouse): � �1�'1i5 C'Cfi✓� �lJ/-� S��i�� VE'�Y(,'-»�1C1L.5 <br /> 33 <br />