Laserfiche WebLink
� � <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �{"125 �14�S��pL, IZ.oad <br /> PID: <br /> DESCRIPTION OF WORK: !V ELJ (?.G S <br /> ---------------------------------------- ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �(•3- S� <br /> BUILDING REVIEW BY: DATE APPROVED: �-3 -9�, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �- No SEWER CONNECTION <br /> STATE SUR`�T_ARGL Yes �--- No WATERCONNECTION <br /> INVESTIGA'I'ION FEE I'es No _� PARK FEE <br /> SAC Ycs No _� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: �L(Z- 1� <br /> Fire Department: ����p Post Office: YyLo v nJ ip School District: W�s-n�{.t� <br /> Lot Area: Sq.ft. 1 l\� Z$L� Acres Z.�5`'t Width Z o o� Depth (�Z�,sb�c.4(Z <br /> Survey Submitted: Yes p�_ No Date of Survey: 3'Z7•5� <br /> ���5�/� P�(�^,z��S ,��,'�.�..,-. - `t ?� �� <br /> Proposed Setbacks:� � 5 U.Z <br /> Fro��t (L-�tice): _ -�— Right Side: �--"�' �� <br /> -z �5 '�— <br /> Rear (Strcet): �-�Z� Left Side: '��"'� " `'� - <br /> Adjacent Structures: ti �� Wetland: �J Zb� <br /> Building Height: Def. Hgt. Z.5 •5 Peak Hgt. 31 •5 <br /> Lot Coverage: N�/4 <br /> Grading: Staff Approval Date: `'1 � Z •��d By: �v- Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist_ict: N� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> N � Existing Proposed <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 /> 26 <br />