Laserfiche WebLink
' . , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�25 �c f32� p(z.���� <br /> PID: <br /> DESCRIPTION OF WORK: (��-�-. (�,A�.� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: ,,,` DATE APPROVED: y - 6 -oZ. <br /> BUILDING REVIEW BY: DATE APPROVED: 9 -�-o't.. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes J' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <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 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): I 60 Right Side: 37c"� <br /> Rear (Street): � IV �,q Left Side: 7j5 � <br /> Adjacent Structures: ti Z1 ' t Wetland: N IA <br /> Building Height: Def. Hgt. �I, Peal:Hgt. Z2. <br /> Lot Coverage: N I A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: --� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> 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 />