Laserfiche WebLink
CHEC.g OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;,:��:< �= �; c' �i� <"c'> >c�. .� f-- <br /> PID: <br /> DESCRIPTION OF i�'ORK: ;��� '� ,�, ` ��; ; �i `� <br /> ZONING REVIEW BY.• 1 DATEAPPROVED: � �� �C.� <br /> BUILDINGItEi�IEWBY.• ur— DATEAPPROVED: 2_ � - o�j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1l�lIT Yes �/ No <br /> PLAN REVIEW Y�S �/ Na SEG[�ER CONNECTION <br /> STATE SLIRCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE -- <br /> SAC Yes � No SITEINSPECTION <br /> 1Jumber of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: ; ��� <br /> Fire Department: Post Office: <br /> + School District: <br /> � Lot Area: Sq.ft.��Acres K�idth <br /> Depth <br /> Survey Submitted.• Yes ✓ No Date of Survey: G 2 z �;€'� �,s�:� <br /> Proposed Setbacks: � �����,� <br /> �x'e+at�(Lake): i �' Raght Side: • `• t E' x�,. ��F,c,� �] <br /> c�c;..� G��� "1 <br /> R_egz.(Street): _`� (v. � be,ft-Side: � �t � � h i h c C� <br /> -}- Z C I��A�'d�. <br /> Adjacent Structures: V� 4�, Wetland: �� � }�' �°"`Gtc`�` <br /> Building Height.� Def. Hgt. 2 � Peak H � � C� � � g� � <br /> 8�• � �� �,;r <br /> � � � S Z�, I g� 7 3 z u.,,. <br /> �Lot Coverage: �T�� -- <br /> ---------------'_''"' <br /> Grading: Staff'Approval Date: By: Council flpproval Date: Z' f � <br /> � - <br /> Septic: StaffApproval Date: /�. By. ��!� <br /> � Zoning File: # G , — �j� Resolution: # 57 � 7 �� <br /> � �� Resolution Date: U Z <br /> Shoreland District: ��/ <br /> MCWD Permit: <br /> Avg. Setback: ' /� B1uffSetback: <br /> �����ot Coverczge: � j" <br /> � s �d `�'` 7 - 7 <br /> Nardcover: 0-?S' �� c� I <br /> � 75-250' � ��cf, 7 �� <br /> ?so-soo, � � - `-�r, � l', <br /> SDO-1 D00' ^ <br /> Hardcover i�ariance Required.• Yes ✓ No <br /> Date of Council.9pproval: U Z 7 Ccg <br /> REMARKS(in house): <br /> 33 <br />