Laserfiche WebLink
% . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z3� C�tt��Tv �E� Avc� ' <br /> PID: <br /> DESCRIPTION OF WORK: (oARh�� Y�od �ro n� �'Ll.=���Gt <br /> ZOVIPiG REVIE`V BY: DATE APPROVED: -7-i�-oS <br /> BUILDING REVIE`V BY: DATE APPROVED: -�-�g-oS' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,/ No SEWER C0�INECTION <br /> STATE SURCHARGE Yes �/ No `VATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> Z0��1IVG CH�CK LiST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> � <br /> Lot Area: Sq.ft. � z,5 ZS'� Acres •Z� Width I 25. 2S Depth i � O <br /> Survey Submitted: Yes � No Date of Survey: 3•2y•7� <br /> Proposed Setbacks: <br /> Front (Lake): °16� Righ[Side: 67 { <br /> Rear (Street): 3.1 � Left Side: Z5� � <br /> Adjacent Structures: 33� Wetland: /v 1 A <br /> Building Heijht: Def. Hgt. ('� ,��- Peal:Hgt. — <br /> Lot Covera�e: 1 Z•�-°70 <br /> Gradin': Staff Approval Date: /va Gfr�r�yP By: Council Approval Date: <br /> Septic: Staff Approval Date: /�i/� By: <br /> Zoning File: # �r✓� Resolution: # Resolution Date: <br /> Shoreland District: �+e5 <br /> Av�. Setback: N/� Bluff Setback: N//� LocCoverage: / Z-Z°Zo <br /> Existin� Proposed <br /> � <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-�00' <br /> 500-14Ca' �'t� <br /> Hardcover Variance Required: Yes No_� Dace of Council Approval: <br /> RE�L4RKS (in house): <br /> � <br />