Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2c�35 �,v 7-(Ly s�ru D2 (N <br /> PID: <br /> DESCRIPTION OF WORK: �o L <br /> ZO.�iI�1i G REV�W BY: DATE APPROVED: �- /- v Z <br /> BUII.,DING REVIEW BY: DATE APPROVID: y - � —o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes ,/" No <br /> PLAi�1 REVIEW Yes _� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes � No Date of Survey: �N �=i l,t_,� /Z- ZZ- Q`� <br /> Proposed Setbacks: � <br /> Front(Lake): ( �-!S Right Side: `�O` <br /> Rear (Street): ��o � + Left Side: �6� <br /> Adjacent Structures: 1�{ ' Wetland: N'� �c��n� Z 5 � <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: � •/L <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: — <br /> Zoning File: # � Resolution: # — Resolution Date: <br /> Shoreland District: N o <br /> Avg. Setback: Bluff Setback: L.o[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 /> �.M�K.S �i1111011Se�: �� A��:,,. -}c r'�6 "'-' ,'i�.. ��; (ri�f� (`� �r�+.� ?°�-���. <br /> K,��� �, �--G �; ' , � . � �,T .. � � S .�3�e <br /> 7 <br />