Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: 2?5� C�=Tr'-:y=- ��� �., �'.' -- <br /> PID: <br /> DESCRIPTION OF WORK: ��-_� ��=S , <br /> ------------ <br /> -------- __ <br /> ZONING REVIEW BY: �-�.. _ DATE APPROVID: -7-rz 4� <br /> BUILDING REVIEW BY: , '%�t,.`,_ - DATE APPROVID: �- �z-4 s� <br /> ----------------------------- <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 WATER CONNECT'ION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No �� SITE INSPEC'TION <br /> Number of SAC Units OTHER (specify) <br /> --------------------- <br /> ZONING CHECK LIST Zoning District: ���- � �� _ Shoreland District : � u <br /> Fire Department: s Post OfFce: l�.L¢K[: School District: ��� <br /> Lot Area: Sq.ft. � +' Acres 2. 2� Widtn Z3 D� 'i' Depth y39.�Y f <br /> Survey Submitted: Yes X No Date of Survey: (� -Z g-`l.� <br /> Proposed Setbacks: � , + <br /> Front (L�ke): �d Right Side: �� <br /> Rear (S�eec): 33 D' Left Side: $5•S �� <br /> Adjacent Structures,: /V/�- Wetland: /✓�✓f <br /> Building Height: Def. Hgt. Z� Peak Hgt. �Z�5 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> ��. 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: 7- � 7- �l(o By:(�� • Council Approval Date: �� <br /> Septic: Staff Approval Date: �' Z � �l�o By: S•w• <br /> Zoning File: # n� (�A Resolution: !� N�� Resolution Date: N��h <br /> REMARKS (in house): <br /> 26 �` <br />