Laserfiche WebLink
� <br /> CHECK OFF LIST FOR ISSUANCE OF PER111ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 3'� Fo n 5 T" <br /> PID: <br /> DESCRIPTION OF�VORK: QN�/L1-r�C.2 /l�o�ti /v`�o�"S f 6/9 T?�S <br /> ----------------------------------------- ---- ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATEAPPROVED: j-2 z cs7 <br /> BUILDING REVIEW BY: DATEAPPROT�ED: s=ZZ-� <br /> --------------- <br /> FEES TO BE CHARGED: Nlisc. Fees Calcz�lated 13y: <br /> PERMIT Yes �/ No <br /> PLAN RE vIEW Yes_,L/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Y'es No � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> 1�'iusibe��of SAC Unils OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST 7_o�7i��g Disrricr: • <br /> Fire Department: Post Office: School District: <br /> Lat:lrea: Sq.ft. .4cres Yf%idth Depth <br /> Stu•vey Submitted: 3`es X- No Date of Siu•vey: �•ZZ-o�' <br /> Proposed Setbacks: <br /> Front (Lalce): 3� � Rigllt Side: <br /> Renr(Street): Gefl Side: <br /> Adjacent Strt�cttu•es: ll�etla��d <br /> � <br /> 13irildii�g Herght: Def. H�t. Penk Hgt. v <br /> Lo�Coverage: N !/a' <br /> Grading: St�rff.dpp��oval Date: C// .� Bv: Council,�1ppr•oti�a!Date: <br /> Sep�rc: Stnff.=lpproval Date: � �y <br /> Zor�ing File: � �" Resolution: � Resolu�ion Date: <br /> Shoreland District: �r!5 ��ICGb"D Per•irrit: <br /> ,4ug. Setback:� BluffS'etback: LotCoverage: <br /> Exrstii:g Proposed <br /> Hnrdcover: 0-7�' <br /> 7i-7i�' v--- <br /> (�.�- ?so-son' <br /> soa�ono� <br /> f(a�dcover F arinnce Required }'es :�'o Date of Couiuil.�lpprovn! <br /> RE�YI,4RKS(i�r hocrse): <br /> 33 <br />