Laserfiche WebLink
! CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z'� Z O r� v N C,v o O�`f �� <br /> PID: <br /> DESCRIPTION OF WORK: ( ��e2 c�vcL r i r�t 51� <br /> ZO�iING REVIEW BY: DATE APPROVED: s•��_ v� <br /> BUII�DING REVIEW BY: DAT'E APPROVED: � -��- �'t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pL?,N REVIEW Yes �/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�ING CHECK LIST Zoning District: �tJ v C`/-,f� <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): Right Sid : <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Buildin; Heiaht: Def. Hgt. P • Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zonin; File: � Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. S<<back: Bluff Setbac : L.ot Coverage: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />