Laserfiche WebLink
. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z1`�t S C TH L L. A V L <br /> PID: <br /> DESCRIPTION OF WORK: In fJ,r�� ri o�► - <br /> -------------------------------------------------- ------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: � -!z�4 5 <br /> BUILDING REVIEW BY: DATE APPROVED: � -r z-9`3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARGL Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE I'es No PARK FEE <br /> SAC Y,:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L R ' � �- <br /> Fire Department: ryk�v..�� Post Office: yvwv n�f1 .. School District: w PST�N Kh <br /> Lot Area: Sq.ft. �S;�U�'r' Acres 3`{ Width t c!o ' Depth �Sa` <br /> Survey Submitted: Yes p� No Date of Suryey: �i' 3� ��( <br /> Proposed Setbacks: , ' � <br /> Front (L-zrkcj: y S�•2? Right Side: '�� .39 <br /> � � <br /> Rear (St�eet): �� Left Side: �")�'1•0 3 <br /> Adjacent Structures: �q-rT�c 1�� Wetland: /V r/�- <br /> Building Height: Def. Hgt. C�.k: Peak Hgt. � <br /> Lot Coverage: `�`�� <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: # — Resolution: # -- Resolution Date: <br /> Shoreland Dist_�ict: �_5 <br /> Avg. Setback: N I A Bluff Setback: N (�- Lot Coverage: 9 �� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 1•10 1 O•$ <br /> 250-500' '1 Z.2 5 0 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �- Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />