Laserfiche WebLink
. ~ CHECK OFF LIST FOR ISSUAi�TCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �o� 5 F A r�v��w Lw n,c <br /> PID: <br /> DESCRIPTION OF WORK: C� c�K �2�:—w ��.�;w��T <br /> -----------_—_------------------------�� �-------�----------------------------------6--------------- <br /> ZO�tG REVIEW BY: `�' DATE APPROVED: zY-�3 <br /> BUILDI�i 1G REV�W BY: DATE APPROVED: c.•z� - 03 <br /> F EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes ,/ No <br /> pLA1�I REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOti�ING CHECK LIST Zoning District: <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): �I t�' '� Right Side: 50' * <br /> Rear (Street): Z37' '�' Left Side: �do� t <br /> Adjacent Structures: — Wetland: — <br /> Building Hei�ht: Def. Hg[. — Peal:Hgt. — <br /> Lot Covera�e: N I/�- <br /> Gradin�: Staff Approval Date: N f A By: Council Approval Date: <br /> Septic: Staff Approval Date: N /� By: <br /> Zoni.ng File: # ` Resolution: # — Resolution Date: <br /> Shoreland District: No <br /> Av�. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-500' <br /> Sd0-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�1ARKS (in house): __ <br /> 7 <br />