Laserfiche WebLink
�CHEC?� O�`F i�IST FOR ISSUANCE 4F PE��IITS <br /> FOR OFFICE USE ONLY <br /> A,DD�2EtSORLEGAL: tZ� �Z2�.tCt'T5 �ir•��- R� <br /> PIII�: <br /> DESCR�lOtI OF WORK: Z�►cQ o� �-<=rw°✓��Z- <br /> ZO�PIG REV7E�V BY: �---- (A______... DAT'E APPROVED: <br /> SUII�DIN'G REVLEtiV BY: DATE APPROVED: �o -z -o� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEti�T � Yes ,/ No SEtiVER CO�iNECTION <br /> STATE SURCHARGE Yes � No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONTa�IG CT3E.CK LIST Zaning Districr. _,N v c�_;c�� ". <br /> Fire Departmenc: Post Office: Schoot District: � <br /> I,ot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted; Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Ri�t Side: <br /> Rear(Sireecj: L�f:Side: <br /> Adjac�nt Structures: Wet d: <br /> Suilclin� Heipht: Def, Hgt, P " Hg�• <br /> Lot Covera�e: <br /> Grading: S�aff Approval Date: By: Council Approval Date: ' <br /> Sepcic: Staft Approval Date: ��� <br /> Zoaing File: R Resolution: Resolution Date: <br /> Shoreland Districc: <br /> Av�. Secback: Blu Setback: L.ot Covera�e; <br /> Ezist Q Proposed <br /> O <br /> H�dcover: 0-75' <br /> 75-2�0' <br /> 2�0-5a0' <br /> 500-1 G'QO' <br /> �-i��ceve: `,'�ia..�ce P.equired: :�'es No rJ�;� nF Ca�.!ncil App-ovz: <br /> F.EtiI.��Rk�S (inhouse): <br />