Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR QFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 1��`� � �. Q� � � V1, (��;�; <br /> PID: <br /> DESCRIPTIONOF WORK G�Gv P� cr � • � reS�c�g <br /> --_____________________—______y _______________________________________ �'oa��/�. <br /> ZONING REVIEW BY.• DATEAPPROi�ED: / C� <br /> BUILDING REVIEW BY.• DATEAPPROTfED: K - z- a� <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: ��r��y �� <br /> PERMIT Yes �% No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No ufATER CONNECTION <br /> INVESTIGATION FEE Yes No-� PARK FEE <br /> SAC Yes No�� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST � Zoning District: �—��_ �� �� � � ' �'_—"�_ <br /> Fire Department: Post Off ce: School District.� <br /> Lot A��ea: Sq.ft. Acres •�� Width Depth <br /> Survey Submitted: Yes�L No Date of Survey: �q9� �-�j�/�� <br /> ��rcr, li C.e..) <br /> Proposed Setbacks: , <br /> F�ront$a�: �� . � Right Side: �/j0 C.�C)yt� <br /> Rear(Street): �O R� Left Side: Ij0 � <br /> Adjacent Structures: h/� Wetland: �� <br /> Building Height: Def. Hgt. Peak Hgt. � �C�/�'� � �C <br /> Lot Coverage:_� <br /> Grading: S1affApproval Date: _ By: Council Approval Date: <br /> Septic: Staff Approval Da[e: ����� By. �� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCu'D Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-.i 00' <br /> 500-1000' <br /> Hardcover i�ariance Regui�-ed: Yes No Date of Council App��oval: <br /> REMARKS(in house): <br /> 33 <br />