Laserfiche WebLink
CHECK OFF LIST FOR ISSUAi�tCE OF PERII�IITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q ti o �q-K o;x� � <br /> ' PID: <br /> DESCRIPTION OF WORK: pP ,�l 2� <br /> ZOti`I�'G REV�W BY: DATEAPPROVED: G -1 3 -ov <br /> BUILDTivG REVIE`V BY: DATE APPROVED: (� �� .?-�r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes _,G No SEWER CO�INECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONLIIG CFiE.CK LIST Zoning District: Nn e�-�� <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o� No Date of Survey: � �`=�� <br /> Proposed Setbacks: <br /> Fron[(Lake): ,StJ� Right Side: S�` <br /> Rear (Street): `'t0 t '� Left S;de: ��J� t <br /> Adjacent Structures: /�,avi-E-P� Wetland: r//ia— . <br /> Building Height: Def. Hgt. �� l.L Peal:Hgt. — <br /> Lot Covera�e: 0• (L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �1�V� Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <br /> Eusting 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 /> REviARKS (in house): <br /> 7 <br />