Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: — 2 Sc1S (�_E� �2..�rJ '1-�p,�L <br /> PID• � �1f "� '� ��-� <br /> DESCRIP'TION OF`�ORK: �oo l <br /> ---- n --------------------------------------�---�-------�--- <br /> ZO�TING REV�W BY: d V DATE APPROVED. �{ S <br /> BUII�DI�i 1G REV�W BY: DATE APPROVED: s- �{ - �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes _� No SEWER CONNECTION <br /> STATE SUR`HARG� Yes _� No WATERCONNECTION <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y:;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOt�I�\'G CHECK LIST zoning Districc: (L(�- ((3 <br /> Fire Department: C.oru L4lc.c Post O�ce: (�on►G lA�,c� School District: c9�Z O�O <br /> Lot Area: Sq.ft. No CNArv6e Acres — Width — Depth — <br /> Survey Submitted: Yes_� No Date of Survey: pr•t r-��.�. <br /> Proposed Setbacks: <br /> Front (L-�e}� _ Z�$� } Right Side: ,3 p` + <br /> Rear (Street): 2�5� � Left Side: ()p� �- <br /> Adjacent Structures: �V� Wetland: /j D <br /> Building Heigh[: Def. Hgt. N(l'� Peak Hgt. — <br /> Lot Coverage: <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> h Zoning File; # Resolution: # Resolution Date: <br /> 1'`, <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: L,ot Covera�e: <br /> • Eziscing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1d00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE11��1Rb'S (in house)• <br /> • 26 <br />