Laserfiche WebLink
� . , <br /> CHECk OFF LIST FOR ISSti:�tiCE OF PER�IIITS <br /> FOR OFFICE USE ONLY <br /> �DDRESSORLEG:�L: Zy�ro �s``' (���"JT � PID: <br /> DESCRIPTIO\ OF �`�ORI�: �w �"�=' � _ <br /> ---------------�_�------- DATE APPROVED: I I- 2.�-g s' <br /> ZO\�G RE«`V BY: � � DATE A.PPROVED: �i. �-'-`�►s <br /> BL�II,DL\G RE«titi BY: <br /> ----------------- - �to <br /> FEES TO BE CH_-�RGED: y�isc. Fees Calculatea Bv: <br /> PERv1IT Yes � ,;�e. ���so��--��,� a�Zt <br /> PL��' RE`ZE�V Yes �/ No SEti�TER CO��ECTION -a-��v <br /> �/ vo WAZ�.Z CONi�:CTION � 3�5`•o0 <br /> STATE SLRCH:�RGE 1'zS �o � p�K FEE <br /> IvVESTIG:�TION FEE Z'zS S� �SpECTION <br /> SAC Yes � No — <br /> ' OTHER (specify) <br /> �iumber of S�C Unics __ __ ___w_���___� <br /> ---------------------------- <br /> ______-------------------------_---- <br /> ZO`�G CHEC�i LIST Zoning Districc: G� ��G <br /> Shoreland District : y� <br /> Fire Departmenc: ✓Y�b <br /> �,,.�,/� PoscOffice: wA�,'��'+ ScnoolDistrict: w��-U� <br /> Loc,�rea: Sa.:�. � — �c:es ,5( Width //U�'r/v9� Dep�h — <br /> Survey Suomicted: Yes r� _ <br /> ,�ro Date of Survey: � I-`� 5 <br /> Proposed Setbacics: � � <br /> Fronc ��+�)� `'(� RiQht Side: ! � <br /> Re:r (St�eet): �1� Lett Side: 5�� <br /> .�djacent Stn:ctures: /� l� �Vecland: � �� <br /> Building Hei�hc: Det. Hgt. <br /> Peak HQc. <br /> .�vg. Secback: <br /> /V(/{' Bluif Setback: ��� Lot Coverage: ,(J /� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-Z50' � 71 �jr> <br /> 250-�00' ��'�lU <br /> 500-1000' --�z <br /> Hardcover Variance Required: Yes <br /> �o 'k� Dace of Council Approval: � <br /> � By: �Cj. Councii �pproval Dace: <br /> Gradin�: Staii �pproval Date: !I- �J- �/� <br /> Sep[ic: Scaif �PP <br /> roval Da[e: ��� By: <br /> �vl�✓���viSr�°� ?�oo <br /> Resolu�ion: ,� 36 Z I Resolution Date: /U �j - 5 5 <br /> Zoning File: T <br /> ��,�� (in house): <br /> 26 <br />