Laserfiche WebLink
C'FiEC�K O�'F i,IST FOR ISSUANCE OF PER��IITS <br /> FOR OFFICE USE ONLY <br /> Ar:DREcS ORLEGAL: Z56c7 r��Nwr,o✓�� (4� <br /> PII�: <br /> DESCRIPTION OF WORK: (3�rr� �-ix��✓��Z- - <br /> ---------------------------------- <br /> --------------------- - <br /> ZOVNG REVJE`V BY: AA'TE APPROVED: � " 2.� -- v � <br /> SUII,DING REVIEtiV BY: DA.TE APPROVED: ► - 2 b �o� � . <br /> FEES TO BE CHA�.2GED: Misc. Fees Calculated By: <br /> P�g�T Yes �/ No <br /> PLAN REVIEtiV � Yes No �/ SE`VER COyNECTION <br /> STATE SURCHARGE Yes _� No `VA'I'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> -------------------------�--------- <br /> ------------------------------------------------- <br /> ------------------------------- � <br /> ZONi�IG CHE.CK LIST Zoning District: N C� �h�«'`� �`'��� r'`'`� <br /> . ___�y/� � <br /> Fire Deparc.ment: Post Office: School District: � <br /> Lot Area; Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat(Lake): Ri�t Side: <br /> Rear (Street): Lefc Side: <br /> Adjacent Structures: Vetland: <br /> Buil�lin� Height: Def. Hgt, Peal�Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: Council Approval Date: ' <br /> � (� <br /> Sepcic: Staff Approval Date: � � �Y� �" <br /> Zoaing File: 7 Resolutioa: n Resolution Da�e: <br /> Shoreland District: I.ot Coverz�e: <br /> Av�. Setback: Bluff Setback <br /> Eustino Proposed <br /> Hardcover: 0-75' <br /> 75-256' <br /> 250-5Q0' <br /> �00-1000' <br /> ii�:dcover Va::�ce °eq��i;��: Yes No Date o`Ce�cil A«_ov�: <br /> F.E�L4R�iS (in ho�e): O (�,J � v ��� <br />