Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��30 t t c��V <br /> PID: <br /> DESCRIP'I'ION OF WORK: ��=U� <br /> ZO�TING RE'VIEW BY: DATE APPROVED: �Q - �o•5� <br /> BUILDING RE'VIEW BY: DATE APPROVED: q -!c�-q-] <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR`HARCrr Yes ✓ No WATER CONNECTTON <br /> INVESTIGAZ'ION-�EE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIl�IG CHECK LIST Zoning District: L.R -�/a <br /> Fire Department: (,o� Post Office: _(�,.s� (.a-t� School District• pczon�� <br /> Lot Area: Sq.fr. /Vu C f�F-w►v�?Acres _ Width — Depth — <br /> Survey Submitted: Yes � No Date of Survey: ON �tl,� <br /> Proposed Setbacks: <br /> Front (Lake): !�{(� �+ Right Side: 1�3L� � IU <br /> Reaz (Street): l?.t�� �-. Lefr Side: � �� �� 5 <br /> Adjacent Structures: ,�-r-T,qcr�-�-� Wefland: IJ (f! <br /> Building Heiaht: Def. Hgt. Peak 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 DisL-ict: <br /> .`P• Avg. Setback: Bluff Setback: I.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 /> REil2ARKS (in house): <br /> • 26 . <br />