Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9 3 b Go�' f=�9�LsK �i� <br /> PID: <br /> DESCRIP'TION OF WORK: Z ���i (j,�;��eL.S <br /> ZO.�IYi G REV�`V BY: `v(� DATE APPROVED: <br /> BUIZDING REVIE`V BY: � DATE APPROVED: 5• Z --c�s� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes o � SEWER COiVNECITON <br /> STATE SURCHARGE Yes __�No WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONI�i 1G CH�CK LIST zoning Districc: a _( <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submi[ted: Yes N Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): ef[Side: <br /> Ad;acent Structures: Wetland: <br /> Building HeiGht: Def. Hgt, eak Hgt. <br /> Lot Covera�e: r <br /> i <br /> Grading: Staff Approval Date: By; Council Approval Date: <br /> Septic: Staff Approval Date: By:� <br /> � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Distric[: <br /> Avg. Setback: Bluff Setba : L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS(in house): <br /> � <br />