Laserfiche WebLink
� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: (00 C R u sT►��... C��K �� <br /> PID: <br /> � DESCRIPTION OF WORK: oa( �,�� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: S'• z y- oa <br /> BUILDING REVIEW BY: DATE APPROVED: S•ZY-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVES 1�IGATION FEE Yes � No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Num'-er of SAC Units OTHER (specify) <br /> --------- ------------------------------------------------------------------------------------------------------------- <br /> ZONIi;U CHECK LIST zoning District: N� c-rb�r�t <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): � g�� Right Side: � �+ �� <br /> Rear (Street): 23"7� t Left Side: /Z5�fi <br /> Adjacent Structures: /D� Wetland: """ <br /> Building Height: Def. Hgt. O�k Peal:Hgt. b•1<- <br /> Lot Coverage: N�� <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: L.ot Coverage: <br /> G Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />