Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�,�;5 �,,;,;;-r„�s,,l� <br /> PID: <br /> DESCRIP'TION OF WORK: _ �?�v�-;��,�:� t��N:s �-t <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: -- �'�� DATE APPROVED: �ti�r;�- <br /> BUILDING REVIEW BY: � `�L„�. DATE APPROVED: �=�--y" � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes _� No SEWER CONNECTTON <br /> STATE SUR`HARGE Yes _� No WATERCONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> ,� Lot Coverage: <br /> �, <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> -7 <br /> Septic: Staff Approval Date: ��'���� By: � � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: I,ot 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 /> REMARKS (in house): <br /> � 26 <br />