Laserfiche WebLink
, • CHECK OFF LiST �'OR ISSiJANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZOVIPIG REV�`V BY: DATE APPROVED: <br /> BUILDING REVIE`V BY: DATE APPROVED: / —j 3—D(o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes No SEWER C0�INECTTON <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�G CI�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes .?� No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): lQ(' -f' Right Side: <br /> Rear (Street): v�(7 �' Left Side: ��" <br /> Adjacent Structures: Wetland: Q�_ j�( � <br /> Buildin; Height: Def. Hgt. N � Peal:Hgt. 1-r <br /> Lot Covera�e: (,� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Q� By: <br /> Zoning File: f# Resolution: # Resolution Date: <br /> Shoreland Distric[: <br /> Av�. Setback: Bluff Setback: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�LARKS (in house): <br /> 7 <br />