Laserfiche WebLink
CHECK OFF LTST FOR ISSUANCE OF PER�I�ZITS <br /> � � FOR OFFICE USE ONLY <br /> ' ADDRESSORLEGAT.,: __. 243-1�1 C�ISC.o Po�n,t (?_o�✓J . <br /> PID: <br /> DESCRTPTTON OF WORK:"- p„p� �n�,� � <br /> ZON.�i 1G REVIEti� BY: � DATE APPROVED: (D - b '�i $` <br /> BUILDIPIG REVIEti'V BY: DA'I�E APPROVED: /o-•� •�t� <br /> k�ES TO BE CHARGED: � � Misc. Fees Calculated By: �� � <br /> PERMIT Yes c/ No ' <br /> PLAN REV�W Yes t� No SEW��COVNECITON <br /> STATE SUR`H�G� Yes � No ti�ATER CO�TNECTTON <br /> INVESTIGAT'ION-FEE Yes No PAItK FEE <br /> SAC Yes No SITEIlVSPEC`TION <br /> Number of SAC Units OTHER (specify) <br /> --------- ----- ---- <br /> ZO�TJ3ti'G C�iECK LIST zoning District: (_2-1 C, � <br /> Fire Departmenr. !�^��M/) Post Office: _ t,vA-t��i�-�- Schovl District: /Y��.dr/�O � <br /> Lot Area: Sq.ft._ ��1, 6�JC� Acres . 33`� tiVidth 1 R11�.Gr�tGA/Z Depth — <br /> Survey Submitted: Yes ;>c No Date of Survey: S-l6-`t� <br /> Proposed Setbacks: � <br /> Front (La.tie): . '�{�i Right Side: t °� ` . <br /> Rear(Street): 3 i: 5 . Left Side; `!�� <br /> Adjacent Structures: �. �7 ' �Vetland: n1 /(3- <br /> Buildina Height: Def. Hgt. �• (�- Pea.k Hgt. — <br /> Lot Coverage: 1 y •`-(�? <br /> Gradi.n�: Staff Approval Date: A!/I'�- $y; Council Approval Date: <br /> Septic: Staff Approval Date: -- By: • � . <br /> Zoning File: # — Resolution: # Resolution Date:� �— � <br /> Shoreland Dis�ict: _ y.es <br /> Avg. Setback: _ Nr/� Bluff Setback: r//1� LotCoveraoe: I Y�`f7 <br /> ' ' Existin� Proposed � <br /> Hardcover: 0-?5' <br /> 75-250' . � ' <br /> 250-500' _ 2G-� . . ZS;� <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> R.EI�ZARKS ('in house): � <br /> . z � � � � � <br /> • ''' 26 <br /> , ��:� . . <br />