Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �1 q� FE tz���J AL�. (Z���J N <br /> PID: <br /> DESCRIPTION OF WORK: ArJr�,� o�1.s°� r�k-ww�0�-�-. i <br /> ZO.�i 1G $EVIEtiV BY: S DATE APPROVED: ��_ zb � 0 2 <br /> BUII,DING REVIE`� BY: DATE APPROVED: ��. 2� •�2. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER��IIT Yes �' No <br /> PLAN REVIEW Yes ,� No SEWER CONIVECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Un.its OTHER (specify) <br /> ZONING CHE.CK LIST Zoni.ng District: <br /> Fire Departmenr. Post Office: School District: � <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 11• 2 ro• o z� <br /> Proposed Setbacks: <br /> Front(Lake): (,3•.3 �- Right Side: 22,c7 '-' <br /> Rear (Street): 90' � Left Side: 31.l � <br /> Adjacent Structures: A-r�-�,ci+Ed Netland: N IA- <br /> Building Hei;ht: Def. Hgt. p .(C_ Pealc Hgt. <br /> Lot Coverage: At(/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /Va <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />