Laserfiche WebLink
. � , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: r �0 G N l:.V� C FE-►45 C <br /> PID: <br /> DESCRIPTION OF WORK: A���n�� <br /> ----------------------------------------- - -- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: io -2 S -v� <br /> BUILDING REVIEW BY: r,�-- DATE APPROVED: �v-z4 -v� <br /> -------------------------------------�------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATERCONNECTION <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: (�� �� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Z.S,25 3 Acres . 5�1 Width //1,(k;GUch�� Depth <br /> Survey Submitted: Yes� No Date of Survey: Z-Ib� SS �,v ��,L <br /> Proposed Setbacks: <br /> Front (Lake): b2� } Right Side: 3p' � <br /> Rear (Street): ���'� Left Side: �b' ?' <br /> Adjacent Structures: A-�;-»,ct+t� Wetland: �1' ��} <br /> Building Height: Def. Hgt. Q �� Peal:Hgt. Qk <br /> Lot Coverage: `�•��a <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 Setback: Lot Coverage: <br /> 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 /> 7 <br />