Laserfiche WebLink
. r . <br /> ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9 0 1=�R��t���.�, G i 2�Z N <br /> PID: <br /> DESCRIPTION OF WORK: Aro►� i rZ o� S /lL��►^����Z- � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> Z0�1ING REVIEW BY: � DATE APPROVED: � - <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,i PARK FEE <br /> SAC Yes No ,� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING 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: � '23-oZ. <br /> Proposed Setbacks: <br /> Front (Lake): 51.7 � Right Side: ZZ�� � <br /> Rear (Street): 3� .�j Left Side: ]�� <br /> Adjacent Structures: U•K Wetland: ^I �A <br /> Building Height: Def. Hgt. n.(� Peal:Hgt. — <br /> Lot Coverage: Q.I� <br /> Grading: Staff Approval Date: /J 1 �' By: — Council Approval Date: <br /> Septic: Staff Approval Date: n� I✓� By: ' <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: I.ot 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 />