Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> FOR OFFICE USE ONLY • � <br /> ADDRESS OR LEGAL: Z 7 0 o Go�,v rvt,�, S i,�.e D2 (iv-e5� � <br /> PID: I <br /> DESCRIPTION OF WORK: (.3�Q-5Q tNw��- F��vrs(� ' <br /> ----------------------------------------- ------------------ . . <br /> ZO�iG REVIE`V BY: DATE APPROVED• /n r 2 -S� <br /> BUILDI`TG RE'VIEW BY: DATE APPROVED: r c� . i z -S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No i <br /> PLAN REVIEW Yes � No SEWER CO�INEC"I'ION <br /> STATE SURCHARGE Yes J No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------------------------------- <br /> ZONING C�CK LIST Zoning District: /rUO Gff�� � <br /> Fire Department: Post O�ce: School District: I� <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks`. <br /> Front (Lake): Right Side <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Buildin�Height: Def. Hgt. Pe �Hgt. <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> E�sting 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 /> RENLARKS (in house): <br /> 7 <br />