Laserfiche WebLink
CHECK OFF LIST FOR ISSU��CE OF PERl�IITS <br /> FOR OFFICE USE ONLY <br /> �,DDRESS OtZ LEGAL: 3p�p r'R fZ�(l CW LA�►t= <br /> PID: <br /> DESCRIP'I'ION OF WORK: C�c�L,K �AN� PO2�.t� - <br /> ------------- --------- <br /> Z01tTi�1G REVIEW BY: DAT'E APPROVED: !z- z� -S 5 <br /> BUII�DING REVIEW BY: DATE APPROVID: t z-z�ti -s �"� <br /> - --------------------------- <br /> FEES TO BE CI�IZGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> pL� ��EW Yes �" No SEWER COi�1i�1ECTION <br /> STATE SURCHARGE Yes � No WAT�R CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �/' SITE Pi tSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> ZONING CHECK LIST Zoning District: L2 -//� Shoreland District : �I�c7 <br /> Fire Department: ,�, — Post Office: {�t= School District: C�,2o�c7 <br /> LotArea: Sq.ft. /VU G/�i4NdC3 Acres � Width f2/Lt%GuL4R Depth <br /> Survey Submitted: Yes � � No Da[e of Survey: �Z'�5'9D <br /> �ON �t c� <br /> Proposed Setbacks: <br /> Front (�ai�e): N �A- Right Side: ( `j S� /� <br /> Rear (S�eet): /Sv� � Left Side: 3 0` S <br /> Adjacent Structures: /J Tn4�� Wedand: /J�/� <br /> Building Height: Def. Hgt. �•k Peak Hgt. ('.(� <br /> Av�. S ack: Bluff Setback• Lot Coverage: <br /> Eeistin� P oposed <br /> Hardc ver: 0-75' <br /> 75-250' . <br /> 50-SOa' <br /> 5 0-1000' <br /> Hardc ver Variance equired: es No Date of Council pproval: <br /> Gradin : Staff Approv Date: <br /> Council A proval Date: <br /> Sepuc: Staff Approval Dat : y' <br /> Zoning File: # <br /> Resol 'on: � Resolution Da : <br /> r <br /> d I� <br /> � � � .� '' � y�'� � Y°� <br /> RFd1�ARKS (in h0use)' � � <br /> ,� �.- � , <br /> , .;�•y, � <br /> .n c �^ . �� <br /> � , r � <br /> -, �,_ . <br />