Laserfiche WebLink
. CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L � v►�<,voa <br /> PID: <br /> DESCRIPTION OF WORK <br /> ZOMNG REVIEW BY.• W ~~ ���� DATEAPPROVED:W W �7 O <br /> BUILDING REVIEW BY.• �..- DATEAPPROVED: �-�-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units G�-�o '.M,�� 2� � s-iz•�,c�}�C OTHER (spec�) �3 � <br /> =--��--�----��- .��- � <br /> Z O N I N G C H E C K L I S T Zvning Dis tric t: �R ' �C� � � P��� <br /> v�53�Y <br /> Fire Department:�)CCP�Sl61� Post Office: �/l� School District: �����S�yj,�/a� <br /> LotArea: Sq.ft.�2(pZ. Acres Width /pZ .,j Depth ��O � ��•� <br /> Survey Submitted: Yes�� No Date of Survey: � �O <br /> Proposed Setbacks: p �o✓��► <br /> Front(Lake): 7 �/ Right Side: Iz'r'J� <br /> . .S�f'h . <br /> Rear(Street): /O�f. '�j 2 Left Side: �� <br /> Adjacent Structures: �7/� Wetland: hp' <br /> Building Height: Def. Hgt. Z / Peak Hgt. JQ� , <br /> Lot Coverage: ���5�r''' ���D <br /> Grading: Staff Approval Date: �� ' � � By:I,I�- Council Approval Date: <br /> Septic: Staff Approval Date: �l� By: W� <br /> Zoning File: #�fo_�7� Resolution: #� Resolution Date: �Z2 (J�p <br /> Shoreland District: ✓ MCWD Permit: <br /> Avg. Setback: Bluff Setback: �'1!-� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' �, O <br /> �s-2so� ���� � ���ancu.. q�<<...�5 3ZZF� <br /> 2so-soo' <br /> soo-�ono� n���� <br /> Hardcover Yariance Reguired: Yes ✓ No � Date of Council Approval: .�Z ('�p <br /> � <br /> REMARKS(in house): �U� wiC��'l Az'�C�,�sl v/�ii/CWi�P� <br /> 33 <br />