Laserfiche WebLink
t� <br /> . .�. <br /> ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 30Zt7 C�Asc..a Po�.v� (20�� <br /> PID: <br /> DESCRIPTION OF WORK: � �,¢rthl;c3. ,4,�oi n a � <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: �Q,�,.�._ DATE APPROVED: � -� _t�o <br /> BUILDING REVIEW BY: DATE APPROVED: -�_-Z,,_� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes c/� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC _ Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L2•i G <br /> Fire Department: �A� Post Office: School District: �,ves.y�/,(r�t <br /> �- <br /> Lot Area: Sq.ft. rVo Gi.n�r� Acres --- Width �/Lt�ra�v�-�L Depth <br /> Survey Submitted: Yes a� No Date of Survey: ow� <br /> Proposed Setbacks: <br /> Firnit (Lake): ' (/� � � Right Side: �r'� <br /> l�ear (Street): 3� Left Side: �Z� <br /> AdjacentStructures:�7�C.t�e� Wetland: --- <br /> Building Height: Def. Hgt. �'� Peak Hgt. (�,1�. <br /> Lot Coverage: -- <br /> Grading: Staff Approval Date: -- By: ^ Council Approval Date: <br /> Septic: Staff Approval Date: --- By: -- <br /> Zoning File: # --- Resolution: # '— Resolution Date: -- <br /> Shoreland District: <br /> Avg. Setbac : p,(C Bluff Setback: /V�,a- L.ot Coverage: �,�� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 7�-250' �-?_ � 2 3•S <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REMARKS (in house): �-►-y4�,�v�ov`r' ��w��wv�r (1,��� 51�ea�'` <br /> 7 <br />