Laserfiche WebLink
, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS s S �'=�X <br /> PID: <br /> DESCRIPTION OF WORK: Scu�av a osJ ���snv�, 0�Zlc <br /> --------------------------------------------- ------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: ,g -7 - �y <br /> BUILDINC REVIEW BY: DATE APPROVED: � - �- �y <br /> FEES TO BE CHARGED: tblisc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes � No SEWER CONNECT[ON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sy.ft. Acres Width Depth <br /> Survey Submitted: Yes_ L No Date of Survey: oN �(-■�� <br /> Proposed Setbaci<s: <br /> Front (Lalce): Right Side: <br /> Rear (Street): Left Side: �U C� <br /> Adjacent Structures: �Vetland: Z� � <br /> Building Heibht: Def. Hgt. c� �+� Peak Hb. <br /> Lot Coverage: I Z."� <br /> Grading: Staff Approval Date: — By: Counci( Approval Date: _______ <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �C� <br /> Avg. Setback: BluFf Setbadc L o t C o v e r a g e : <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 />