Laserfiche WebLink
CHECg OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY ���`'����� ���"' ' <br /> �ADDRESS OR LEGAL: �,��� �,� ������ ��` <br /> PID: <br /> DESCRIPTION OF N'ORK: <br /> ZONING REVIEW B • DATEAPPROVED: <br /> BUILDING,RE[�IEW BY.• DATEAPPROVED:1 v- Z y _p y� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PL�4N REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No—�r SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CKECK LIST Zoning District: � <br /> Fire Department.• Post Office: School District.• <br /> C <br /> Loi Area: Sq.ft._ ��� Acres �- � Widih�G'vC/ � Depth <br /> Survey Submitted: Yes No� Date of Survey: �'�`—C�� �j�-�j� <br /> Propose cks: / i j <br /> Fro (Lake): �U� Right Side: '�" �� <br /> �- l <br /> Re (Street):'�� �� Left Side: �T �� I � <br /> ,4djacent Structures: YT�etland: <br /> Building Height.• Def.Hgt. Peak Hgt. <br /> Lot Coverage: N� <br /> Grading.• StaffApproval Date: /t/lj� By: �-- Council Approval Date: <br /> Septic: Sta}�.4pproval Date: �f n By: ��(�j-- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland L%istrict.• /V d MCWD Permit: <br /> Av�. Setback.• BluffSetback: LotCaverage: <br /> F_zisting Proposed <br /> Hardcove.r: D-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover 1'ariance Reguired.• Yes No Date of Council.4pproval: <br /> REMARfiS(in house): <br /> 33 <br />