Laserfiche WebLink
CHECK OFF LIST FOR ISSUA1vCE OF PER1tiIITS <br /> + FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: 2 Sb1 �►�sw �o��� <br /> PID: <br /> DESCRIPTIONOFY�O.RK: 5��lJtrv� W iNooWs A�v� P�elhrc �� o�� <br /> ---------------------------------------------------------------- . <br /> ZONItVGREVIEt1�BY: -- D.ATEAPPROVED: <br /> BUILDING REVI.EW BY. Df1TEAPPR06`ED: y• Y-a�_ <br /> ----------------------------------- - <br /> FEES TO BE CHARGED: �Llisc. Fees Calcc�fated By: <br /> PERttitIT Yes �/' No <br /> PLAN REVIE 6V Yes �/ No SEYVER GONNECTIO�V <br /> STf1TE SURCH.4RGE Yes /� No tiVATER COtVtVECTIOiV <br /> ItVVESTIG,4TIO�V FEE Yes tVo �_ PARK FE.E <br /> Sf1G Yes ��Io v SITENSPECTION <br /> 1Viunber of SAC Uitits OTHER (specify) <br /> --------------------------------------------------------------- ---- <br /> 2'O�VIIYG CHECh'LIST Z011LIiJ Disd•icc: N o <br /> Fire Depar•trrierrt: Post Offcce: School Dist�•ict: __. <br /> Lot,�rea: S t. Acres 6(�iddi Depth <br /> 4•� <br /> Si«vey Su6rriitted: Yes No Date af Suivey: <br /> Proposed Setbnch.s: <br /> Fror�c(Lake): Right Side: <br /> Renr(Sh•eet): Left 5ide: <br /> Adjncent St�•ucnu•es: YU lland: <br /> Building H�iglat: Def. Flgt. eak Kgt. <br /> Got Coverage: � <br /> Grnding: Staff.4pproval Date: By: Council�Lpproval Date: <br /> Sepric: Scaff,�lpproval Date: BY� <br /> Zoning Fife: � Resolutio�t: # Resoli�tiaz Dnte: <br /> Shoreland Dish•ict: <br /> Avg. Setback: Bluff Setbnck: Lot Coverage: <br /> Existin� Proposed <br /> Hctrdcovet•: 0-7�' <br /> 75-250` <br /> Z50-500' � <br /> 500-1000' <br /> Hardcover Vm•tafice Reqc�ired: Yes No Date of Cot«tci!Approval: <br /> .RE1I�IARKS(iIt 1tOuse): , <br /> 31 <br /> .. !+ ` � � <br />