Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ON�Tr"Y <br /> ADDRESS OR LEGAL: �3 � �. �e�nd�a,(� �Q <br /> PID: <br /> DESCRIPTION OF WORK: ��L <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: !! - �3-d � <br /> BUILDING REVIEW BY: {?�c��c Ocw��s DATE APPROVED: r �- z 3. o t <br /> ------------------------------------------------------��------------�o��_-------------------------------------- <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 /> ------------------------------------------------------------n------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �2/� JB <br /> Fire Departmentf�(/��`2a'� Post Office: �e,c.,Z`�– School District: 4i'G...y�47� <br /> � <br /> Lot Area: Sq.ft. z'� � Acres ����� Width f �y���1� Depth _ <br /> — ,— <br /> � <br /> Survey Submitted: Yes �0 No Date of Survey: D`J �/�'2 <br /> Proposed Setbacks: � <br /> Front (Lake): d � Right Side: G� <br /> Rear (Street): �� Left Side: G 3• 1 <br /> Adjacent Structures: � Wetland: �� <br /> Building Height: Def. Hgt. Peal:Hgt. <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: Lot 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 />