Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ��i�s �'✓!5<_.,, � ;,,�, ;_ /- ,.,��, <br /> PID: <br /> DESCRIP'TION OF WORK: ��,1�.�:� <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZO�TING RE'VIEW BY: ��(, (����:., DATE APPROVED: s� `� -`�7 <br /> BLTILDING REV�W BY: � �; i�^; DATE APPROVED: <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ �"�rNo�`"' . <br /> PLAN REVIEW Yes No � SEWER CONNEC"I'ION <br /> STATE SUR:HARG� Yes No WATERCONNECTION <br /> INVESTIGA'I'ION-FEE Yes �� No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONI�i tG CHECK LIST zoning Districc: �—�- � `L- <br /> � Fire Deparcment: Post Office: School District: <br /> �v" � Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: , <br /> � Front (Lake): . Z =���` �- Right Side: I 3 � <br /> � � <br /> &ear(Street): ��� ' "-`= Left Side: I��`� <br /> Adjacent Structures: y�' = Wetland: /"f s� <br /> Building Height: Def. Hgt. !^��� Peak Hgt. �,�/.�"'� <br /> Lot Coverage: 1"�' ��'" <br /> Grading: Staff Approval Date: �-� �' -`� ' By: ,� '� Council Approval Date: <br /> Septic: Staff Approval Date: r''� � �' By� <br /> Zoning File: # �' �o-�� Resolution: # Resolution Date: y- ��� `+ � <br /> Shoreland Dist:ict: '�� .� <br /> i Avg. Setback: Bluff Setback: Lot Coverage: <br /> ; Existing Proposed <br /> v�-� ' -,'Hardcover: 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 /> . 26 <br />