Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �(.,Z S Q o NNS �b i�r T IZ",a✓J <br /> PID: <br /> DESCRIPTION OF WORK: o ol <br /> ZO�t1NG REVIEW BY: DATE APPROVED: 5-g- o y <br /> BUII�DING REVIEW BY: DATE APPROVED: ��^�_o�L_ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes _�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATE,R CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_f� No Date of Survey: oa 1=i t�.r' <br /> Proposed Setbacks: � <br /> Front(Lake): � `�� �= Right Side: C "1 ' <br /> Reaz(Street): 356' + Left Side: ��� <br /> Adjacent Structures: �p` Wetland: /� �Pr <br /> Building Height: Def. Hgt. — Peak Hgt. � <br /> Lot Coveraoe: '— <br /> Grading: Staff Approval Date: 5-S • o�-( By: � Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: v�S <br /> Avg. Setback: � ,�c Bluff Setback: �� (t Lot Coverage: — <br /> Ezisting Proposed <br /> Hardcover: 0-75' � <br /> 75-250' Z Y• g 6 <br /> 250-500' �b-� <br /> 500-1000° <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S (in house): <br /> 7 <br />