Laserfiche WebLink
, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z7 0o eT-�-�c L �4 v L <br /> PID: <br /> DESCRIPTION OF WORK: �`G� <br /> ZOr1vi G REVIEW BY: DATE APPROVED: �-6 `r 3 •6Z- <br /> BUII�DI�i tG REVIEW BY: DATE APPROVED; ( •/3 • o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAi�T REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes 4/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONI�IG CH�CK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lo[Area: Sq.ft. t 6 U o o Acres .3y widc� i�v Depth i 5 o <br /> Survey Submitted: Yes_� No Date of Survey: d� 16, 7� <br /> Proposed Setbacks: <br /> ' 'F' ' -i+ <br /> Front (Lake): �-(0 - Right Side: 3� <br /> Rear (Street): �J 3� � Left Side: SS� } <br /> Adjacent Structures: _��'r�-�ta-e� Wetland: �!I/a <br /> Building Height: Def. Hgt. �-- Peal:Hgt. — <br /> Lot Coverage: /S `�� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot 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 />