Laserfiche WebLink
CHECK OFF LIST �OR i�SUANCE OF PERv1ITS <br /> FOR OFFICE USE ONLY <br /> :�DDRESS ORLEG:�I.: /Y��' cf���2y ��'�" PID: <br /> DESCRIPTIO\ OF �`'ORI�: w�►v°ac.� G �''T <br /> --------------------------------------------- <br /> ----------------- <br /> ------- ----------- ----__---_� <br /> ZO``I�tiG RE`��V BY: N(�- DATE APPROVED. <br /> BL�.DL\G REVIEW BZ': DAT'E APPROVED: �a •��- � � <br /> ------------------ <br /> -------- ---f- <br /> FEES TO BE C�L�RGED: �iisc. Fees Calculated By: _ <br /> PERVIIT Yes No <br /> PLAN REVIE`� Yes �� No `�- SEWER COlV�ECTION <br /> STATE SliRCH�RGE Yes �/ No WATER COIv'Vi ECTION <br /> INVESTIG�TION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> tiumber of Sr�.0 Units OTHER (specify) <br /> --------------- - <br /> ZON�G CHECK LIST Zoning District: Shoreland Discrict : <br /> Fire Department: <br /> Pos[Office: School Dis�rict: <br /> LotArea: Sq.ft. Acres Width Dep <br /> Survev Submitted: Yes No /i Da�e f Survey: <br /> , / ! <br /> Proposed Secbacks: <br /> Front lLake) Righ�Side: � <br />� Rear (Stree : Lef� Side: / <br /> r ! <br /> i <br /> Adjacen� �'iructu � s: ; Wetland: <br /> ; <br /> � Peak H t � %/ <br /> Building Height: �Def. Hg . � g 'i� —�— <br /> � � i ,� � _ <br /> Avg. Setback: 7 Bluff S�tback: i' Lot C�verage: <br /> i ' <br /> }; Existi�ig Pro�s�—�-- <br /> Hardcover: �I 0-75' �� � � —�--- <br /> _�— � <br /> �� 75-250' � 1 � <br /> � 250-�00' I � <br /> �, �00-1000' <br /> Hardcover Variance Required: Yes No Da[e Council Approval: <br /> Gradins: Staff Approval Date: By: Council Approvai Dat : <br /> Sep�ic: Staff ?.pproval Date: BY� <br /> Zonin? File: n Resolution: # Resolution Date: <br /> ��iA�tKS (in house): <br /> 26 <br />