Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERil�1ITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/.� ��-�--��r �;';:' �.��---f /�t,' ��'- <br /> PID: <br /> DESCRIPTTION OF WORK: %;-�r ` <br /> ZOivING REVIEW BY: DAT'E APPROVED: ��• 6 - �i ? <br /> BUII..DING REVIEW BY: DATE APPROVED: �� - �• � � <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes ✓ No SEWER COi�1I�TEC'TTON <br /> STATE SUR:HARG�� Yes �/ No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �ONING CHECK LIST Zoni.ng District: R(L-1 A _ <br /> Fire Department: �Apu: pb4i� Post Office: MA�PtAr PtR��! School District: �j(2:�N� <br /> Lot Area: Sq.ft. �S�i.y 3 D � Acres �{.S 7 J s- Width �R.(�c�u��2 Depth <br /> Survey Submitted: Yes pc No Date of Survey: I D- 2-�,?j <br /> Proposed Setbacks: � <br /> Front (Lake): . �$ t' Right Side: 5� � � <br /> Rear (Street): 3 5 � � Left Side: I 3 c�` r <br /> Adjacent Structures: (�� Wetland: <br /> BuIlding Height: Def. Hgt. ( 3� Peak Hgt. 1� ' <br /> Lot Coverage: /�J (� <br /> Grading: Staff Approval Date: /�f (� By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: _ <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> � Ezis[ing 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 /> MARKS (in house): <br /> • 26 <br />