Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � I 5 C�-�C v`1 < (�G�S L <br /> PID: <br /> DESCRIP'TION OF WORK: r' i C_c_._ -�- ��r,�,�,�,5 <br /> ------------------------------------ ---- ---------------------------�---------------------------------- <br /> ZOr�1G REVIEW BY: DATE APPROVED: (C��I `1 - `t'� <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> -------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: (olC�-f)r� Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes 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 CH�CK LIST Zoning District: (� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Sid : <br /> Rear (Street): Left Side <br /> Adjacent Structures: etland: <br /> Building Heigh[: Def. Hgt. eak Hgt. <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. Setback: Bluff Set ck: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />