Laserfiche WebLink
' CHECK OFF LIST FOR ISSUAI�TCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�6� (��,"��1 ,,,Z�L�'� <br /> PID: <br /> DESCRIPI'ION OF WORK: o rZ c c-t -�- c�� % <br /> ZOrZ\�G REV�`Y BY: DATE APPROVED: 8 •� -a o <br /> BUII.DING REVIE`� BY: DATE APPROVED: � -� -aa <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No ; <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONI:vG CH�CK LIST zoning District: R�.-1 (3 <br /> Fire Deparcment: ��v 6 (/��� Post Office: School District: (��Zr�� <br /> Lot Area: Sq.ft. N u C 1-rA�,..r.�Acres Width — Depth — <br /> Survey Submitted: Yes_� No Date of Survey: - C�cv ���� <br /> Proposed Setbacks: <br /> Front(Lake): (o( . Z� �' Right Side: �'j Z� �' <br /> Rear (Street): '�1�(� � Left Side: 1 ZZ� '�. <br /> Adjacent Structures: ArTT�4Gbf�s"� Wetland: — . <br /> Buildin� Height: Def. H�t. D ���- Peal:Hgt. — <br /> Lot Covera�e: O�k <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: "' By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> /� Shoreland District: <br /> �r 1' Avg. Setback: Bluff Setback: Lot Coverage: <br /> 9" Eusting 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 /> RE1I�IARKS (iIl hOt15e). <br /> 7 <br />