Laserfiche WebLink
� � � CHECK OFF LIST FOR ISSUANCE OF PERi'�ZITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S 7 5 /V(�R7�� rERN/,/-�C� <br /> � P'ID: <br /> ' DESCRIPTION OF WORK: (?� p� t� i�� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: N /l4 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: ��(� -c�� <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 I�To PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: No C �-I'�fr��� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres Wid h Depth <br /> Survey Submitted: Yes tio D te of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): RiQht Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: ��'etland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: i <br /> Grading: Staff Approval Date: By: 'Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: #� Resolutio�Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: � L.ot Coverage: <br /> E�isting 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 />