Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3v Y� C�� Po w T l�� <br /> PID: <br /> DESCRIPTION OF WORK: (a,p��-r,�,J 2,�,w�v�c L., <br /> ----- -------------------- <br /> ZOVPi 1G REVIEW BY: (�,.,_ DATE APPROVED: /o - i 3- �3 <br /> BUII..DING REV�W BY: DATE APPROVID; �c,- �3-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAi�t REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONIIVG CH�CK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�/ No Date of Survey: 2-�"n 3 <br /> Proposed Setbacks: , <br /> Front (Lake): (03 • I Right Side: 5 2•°1 <br /> Rear(Street): 3t� .(o � Left Side: I`�' <br /> Adjacent Structures: � Wetland: — <br /> Building Height: Def. Hgt. Z�.5 Peal:Hgt. � <br /> Lot Coverage: C��(L <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: i By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: � -85 <br /> Avg. Setba� � �/� Bluff Setback: ,.�/Pr L.ot Coverage: <br /> EzistinQ Proposed <br /> a <br /> 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 /> 7 <br />