Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 7 �� �� �,s�� �P� �-� <br /> PID: <br /> DESCRIPTION OF WORK: (�,T�-t �'L�"Yv�.�✓.ie c- <br /> ZO�P1G REVIE`V BY: v� I � DATE APPROVED: <br /> BUILDI�IG REVIEW BY: DAT'E APPROVED; r�- 6-`�9 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No ✓ SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�tING CH�CK LIST zoning Districc: �/U o C hh� <br /> Fire Department: Post O�ce: School Disuict: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear (Street): Left Side• <br /> Adjacent Structures: etland: <br /> Buildin�Height: Def. Hgt. eal�Hgt. <br /> Lot Coverage: � <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 Set ck: I.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />