Laserfiche WebLink
CHECK OFF i1IST FOI2 ISSUANCE OF �'E�tiIITS <br /> � FOR OFFICE USE ONLY <br /> � AD)RESS OR LEi7AL: � e �-I � �`lS���9 ( � -'�I f�G�} <br /> PID: <br /> T)ESCRIP`I�ION OF WORK: / <br /> -------------------------��J4/�/' <br /> ZO�G REVIE�V SY: ��' t . �,,______ pA��,PROVED: <br /> �UII�AING REV�'FV BY: <br /> , . DAT'E A.PPROVED; �c�•zh-o C.� <br /> F`EES T4 BE CHARGED:� � Misc. Fees Calculated By: <br /> P��T Yes � No <br /> PLAN REVIEtiV � Yes � No SE��TER CO�INECTION <br /> STATE SURCHARGE Yes �/ No �VAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units PA�o #�Sy7 �-iy-6� OTHER (specify) <br /> ---------------------------------------------------- <br /> ZONZ�IG CHE.CK LIST zoaing Discrict: (�(� I � <br /> Fire Department: <br /> Post Office: Schaol District: <br /> I.ot Area: Sq.ft. �t u�U�'� Acres �i' � � f Width �f'1,�� Depch <br /> Survey Submitted; Yes � No Date of Survey: <br /> / � i <br /> Proposed Setback��, � �� <br /> Froat((Lake),� � [Side: ' <br /> :�� , v <br /> Rear Street): Left Side: <br /> �.i;3�P�t Crnirt�lIZS; N � � We���n�: N I►q <br /> �� / <br /> Buildin� Heiaht: DeE. Hgt, Peal:Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Dace: �o-Z?-o� By: T' � Council Approval Date: � <br /> Septic: Staff Approval Date: BY� �"� <br /> Zoaing File: n/��(„� Resolutioa: n Resolu[ion Date: <br /> ,6L—l--�— <br /> Shoreland District: <br /> Av�. Setbac : 0.)� B!u;�Setback: N (✓'� I-otCoverzge: <br /> Ezisti.ng Proposed <br /> Ha:eco�er: G-7�' <br /> 7�-250' -- <br /> 2�0-Sd0' <br /> SCQ-lOCO' <br /> H?�dco�er Va:-iz.ace nzq�irzd: Yz�� `�� Da�e o` Co�ci: App;�v�: <br /> RE�L4RI�S (inhou.se): ,sc.wte e�.rl�►'�'�'���'' n k <br />