Laserfiche WebLink
CHECK OFF LIST FOR ISSU.ANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � � �� C�✓� e JC�-��-� �-�--- <br /> PID: <br /> DESCRIPTIONOF WORK• �, -� e c c� c�✓a��c, <br /> ------- ' ------_______--- <br /> ZONING RE[�IEW BY.• DATEAPPROVED:�/O� O� <br /> BUILDINGREVIEWBY: _� DATEAPPROVED: �o.Z3-o7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By �� �~y�_��__ <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE �es �/ No wATER CO.NNECTIOIV <br /> INVESTIGATION FEE Yes No_1� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number ofSAC Units PA,� �-��o g - ��•zo �7 OTHER (spec�) <br /> --��----��—�-------��- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Ar-ea: Sq.ft. Acres 2 qL �'idth Depth <br /> Su�vev Submitted: }es ✓ IVo Date ofSz�rvey: �Z�1�'F.v q/�q/� <br /> Proposed Setbacks: `,t.. / <br /> Front (Lake): �J Right Side: <br /> �f' <br /> Rear(Sb�eet): 5� Left Side: <br /> i <br /> Adjacent Structures: _�/_� Wetland: �'j e�l <br /> i <br /> Bz�ildingHeight• Def. Hgt. PeakHgt. �� I l��P2y �y�,.if �`u.iha(cw `• rs �� <br /> Lot Coverage: /�� <br /> Grading: Staff Approva!Date: By: Council Approval Date: <br /> Septic: Staff.dppr�ova!Date: � By; �lJ� <br /> Zoning File: # Resolution: 7 Resolution Date: <br /> Shoreland District: V rt1CG[D Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Pro osed <br /> Ha�•dcover: 0-'�' p�(�� / ,SZ��rj � <br /> 75-250' O� Zs5'/v <br /> Z.iO-�00' ,� �j �75� <br /> .i00-1000' g �� <br /> �h,Cs�wie c c 6►n� q rai.�(ed c�/subd rv�s�w� �tvm i c�.�v✓'`h►sk.v�c. <br /> Hardcover 1"ariance Reqtrired: }'es�� N'o Date o f Council,4 p proval: Cc,�l v� c <br /> REM.9RI►S(irr house): �—c!�,S�T �� `�j� �j� ��I�� � .�..� ��s�'1 o S <br /> � � f � �L <br /> 33 <br />