Laserfiche WebLink
{ ►, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z qDS� ft�X , <br /> PID: rnlvrrw �oc(t,l �cr¢�.yl �£l c��t�i+-, � � r-�2h At(cl�h�., �� cGe c l�p <br /> DESCRIPTION OF WORK: C r/YI S /Zl.w A� � � ��j� � � �, <br /> ---- — �______� - Ap� fo <br /> ZONING REi�IEW BY.• DATEAPPROVED: � C�e� l�v�Ky <br /> BUILDING REi�IEW BY.• DATEAPPROVED: y-�1 -�8 �'�� <br /> FEES TO BE CHARGED: ~ Misc. Fees Calculated By.• M ~ ��� ~Y�_ <br /> PERMIT Yes ,/� No <br /> PLANREi�lEu' 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 /> ZONING CHECK LIST~W Zoning District L� -�� �� ��-'�_______��_____w__ <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Widlh _ Depth <br /> Survey Submitted: 3'es � No Date of Survey: (/Y)K , \� <br /> Proposed Setbacks: � ��'�\ �'F''�� <br /> �,y � Q� <br /> � ��v �� ��i��rv�t� <br /> Front (L�: 2 -f 5 �tght Side: p �� <br /> � <br /> Reai•(�t►�eetj" O ,befY Side: ��� �.;�� ���� <br /> Adjacent Siructures: YY'etland.• <br /> Building Height: Def. Hgt. 2� -S • Peak Hgt. Z� � <br /> Lot Coverage: �. �t,• <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffAppi�oval Date: `�� � t ��� By•�,�i' <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District• I'jC� WGrir /Yj S�l���'hC'�z�`� MCWD Pe�-mit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Fa isting P��oposed <br /> Hardcove�-• 0-7�' <br /> 75-250' <br /> 250-.i 00' <br /> �00-1000' <br /> Har-dcover 1'ariance Requi��ed: 3 es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />