Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��o FERN�(J�}c,� b�..�� <br /> PID: <br /> DESCRIPTION OF WORK: ��st�►2�o�L 2,�w�`��- <br /> ZO.�i'G REVIEW BY: /� DATE APPROVED: <br /> BUILD�i 1G REVIE`V BY: DATE APPROVED: s� c � g � <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes � No � SEWF.R CONNECTION <br /> STATE SURCHARGE Yes �/ No WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> --------------___----------------------------------------------------------------------------------- <br /> ZONII�TG CH�CK LIST Zoning District: tiv G/-hQr�,� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl <br /> Building Height: Def. Hgt. Peal: t. <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 District: <br /> Avg. Setback: Bluff Setback: I.oc Coverage: <br /> Ezisting 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 /> I <br />