Laserfiche WebLink
� CHECK OFF LIST FOR ISSUAitiCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEGAI.: i ZZ GN C V GN – <br /> PID: <br /> DFSCRIPTION OF WORK: T1� =w�o�.L <br /> ZONING REVIEW BY: N�1} DATE APPROVED: <br /> BUII�DING REVIE`� BY• y . d � n� DATE APPROVED: � -zo �U <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes z/" No <br /> PLAN REVIE� Yes c� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �'"No wATF� CONNECTTON <br /> INVESTIGATTON FEE Yes No - — PARK FEE <br /> SAC Yes No �� SITE 1NSPECITON <br /> Number of SAC Units _ OTHER (specify) �___ _ <br /> ------------ <br /> ----------------- <br /> ZO�'vG CHECK LIST Zoning District: Shoreland District : <br /> Fire Department: <br /> Post O ice: School is 'ct: <br /> Lot Area: Sq.ft. Acres Width r� Depth <br /> Survey Submitted Yes o Date of Surve�: <br /> � <br /> 1 <br /> Proposed Setbac <br /> i t Side: <br /> Front ( e): � <br /> Rear (St eet): ft Side: <br /> Adjacen Structure • Wet d: <br /> Pe Hgt. ' <br /> Building Height: Def. Hgt. — <br /> Avg. Setback: <br /> �� Bluff S tback: �Lot Coverage: <br /> i <br /> � � Proposed <br /> 1 Exist' � <br /> i <br /> Hardcover: 0-75' , <br /> 75-250' <br /> 250-500' �, <br /> 500-1000' <br /> Hardcover V ' ce Required: Ye No <br /> D te of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff pproval Date: By� <br /> Zoning File: Reso u �on: # Resolution Date: <br /> p;��yiARKS (in house): <br />