Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 39 S F E R�V��A�� 2oA� N� <br /> PID: <br /> DESCRIP'rION OF WORK: Pooc� <br /> ---------------------------------------------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: �i -Z�-4 � <br /> BUILDING REVIEW BY: DATE APPROVED: 5�Z 3 - 9 9 <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: (L(Z.•1� <br /> Fire Department: �.��q�,-L,�� Post Office: wAti'L4iy4 School District: w Ay--L4T-►q <br /> Lot Area: Sq.ft. nrv Gl�SQ Acres Width Depth <br /> � <br /> Survey Submitted: Yes K No Date of Survey: uN t'-rll�C <br /> Proposed Setbacks: <br /> Front (Lake): 3u3 � Right Side: SS � <br /> Rear (Street): 1 ZS � f' ��t Side: ( 02� <br /> Adjacent Structures: Z�` Wetland: /J 1/F <br /> Building Height: Def. Hgt. /J�/�r Peak Hgt. — <br /> Lot Coverage: N � � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> N��� <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.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 />