Laserfiche WebLink
� ' � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S�� -� �' (2�.� 5;�t (3 (� ��Zc� <br /> PID: <br /> DESCRIPTION OF WORK: �,a,rL �,,� ,—, p.e L,1� /�-rv,� (2�-�p�uz �7v�51�, ���{J <br /> -------------------------------------------------- -------------------------------------------------------------------- <br /> ZONING REVIEV�J BY: �,�.�_ DATE APPROVED: `.3 - � � �1�1 <br /> BUILDING REVIEW BY: , ��.�_ DATE APPROVED: � - i t y7 <br /> -------------------------------------------------� --------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �" No SEWER CONNECTION <br /> STATE SURCHARGE Yes :� No WATER CONNECTION <br /> INVESTIGATION 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 Offce: 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 /> �1�� Building Height: Def. Hgt. Peak Hgt. <br /> \ <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> � Avg. Setback: Bluff Setback: <br /> , <br /> Existing Proposed <br /> �, Hardcover: 0-75' <br /> � 75-250' <br /> I 250-500' <br /> ISOO-lOOO' <br /> �-- Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): --7v�1 -;��� i� ,�.�J��'_ � �/'�t���-�-� <br /> `� � ' ';;,��;.� � �-r ��� c�r <br /> 10 <br />