Laserfiche WebLink
! <br /> CHECK OF`F LIST FOR ISSUANCE 4F PE��IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: r� � 3�� Ct�ulta'�-1 S `�Q ���'�� L..J • <br /> PID: <br /> �ESCRIP`I'XON OF WORK: �`' <br /> ---_------------ - <br /> --------��---------------- <br /> ----------------------------------------------- <br /> ZOY�G ��tiV BY: DAT'E APPROVED: L`1 � <br /> SUII�DING REVIEtiV BY: � . DAT'E APPROVED: � -z5-o � <br /> FEES TO BE CHA,RGEA:� Misc. Fezs Calculated By: <br /> pEg�T Yes � No <br /> PLAN REVIE`V Yes � No SE�VER CO�INECTION <br /> STATE SURCHARGE Yes —� No �VA'I�.R.CONNECTION <br /> INVESTIGATION FEE Yes No —� PARK FEE <br /> SAC Yes No —� SITEINSPECTION <br /> Number of SAC Units OTHER (speci�y) <br /> ----------------- -� <br /> --------------------------------------------=--- <br /> ZONI1�tG CHE�CK LIST Zoaing Distric�: 1\ . <br /> Fire Deparcmenr. Post Office: School District: � <br /> L,ot Area: Sq.fc. Acres Z-0� Wid� Depth <br /> Survey Submitted: Yes � <br /> I�to Datz of Survey: ' � J' �� ��S ' �'11� J <br /> • �'7 . <br /> Proposed Setbacks: � ��- 3 O ( <br /> Froa[(�ej: ��jC� R�c Side: <br /> /- wLef'ESide: 11 A <br /> Re ar(StF�et): 1�7 <br /> f��j3CPpt Crn�r�irz=; � W?r12n�: G` S ��'�y�_r- 7 <br /> Suilding Height: Def. Hgt. 2 3 � Pea.k Hgt. C-- � <br /> Lot Covera�e: h/.�- <br /> Grading: Staff Approval Date: �ia c f-�✓�G..� By: �"� Council Approval Date: — <br /> N p ,Nt,o luf /'��/l.oa.►�S <br /> . o `7 ^ 1� t7�i B l� 5 v� GG,rt.�,µ--�T�q��cJ _s�r, c. <br /> Septic: Scaff Appro�al Dac_: Y� 3� y ,4.,— ,ln,qx <br /> Zoain� File: � ' Resolutioa: R -- Resolution Date: _ <br /> Shoreland Dist:icc: ��__ <br /> Av�. Secback: B!uff Setback: I..otCove2�e; <br /> Eustin� Proposed <br /> a <br /> Ha..rC�ove�: G-7�' <br /> 7�-250' <br /> 2�0-5da' <br /> 500-16C0' <br /> HZCCCO�'eC `'�Z!2IlC2 k'?yl:'.iz�: `:2� �i0 <br /> Da�e of Co�c�,! Apprcv��: <br /> R.E�L=�RKS (inhouse): <br />