Laserfiche WebLink
CHECK OFF LIS7'FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: _ •�� � �� ���� �A �� <br /> PID: <br /> DESCRIPTION OF WORh:• <br /> ZONING REVIEW BY.• �ppROT�ED: ' <br /> BUILDING REi�lEH�BY.• DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SET�T�ER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> WVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. • Acres K'idth <br /> Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: � <br /> Adjacent Structures: Wetland: <br /> Building Height; Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff,4pproval Date: By: Counci!Approval Date: <br /> Septic: StaffApproval Date: �-��(� By. ��- <br /> Zoning File: # Resolution: # Resolution Da1e: <br /> Shoreland District: MCWD Permit.• <br /> Avg. Setback: BluffSetback: <br /> Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover L'ariance Required.• 3'es No <br /> Date of Council Approval: <br /> IZEMARKS(in house): <br /> 33 <br />