Laserfiche WebLink
, <br /> � CHECIC OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � _` �'� F�����,�-� � �� <br /> PID: <br /> DESCRIPTION OF YVORK.• �%��v Cc�i��i�s� ,,��� S iC /h C, �,,,� �,��, �. <br /> �f.�4 lii��' Lv�/l S �_"�-�` yn.�,,., ., �� -t'�'�j <br /> ZONING REVIEW BY.• -� ���� � <br /> DATEAPPROIjED: / Q� <br /> BUILDING REi�IEW BY.• DATEAPPROT�ED: �- _p� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes��� No <br /> P�N��E� Y�S � N� SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No u'ATER CONIVECTION <br /> WVESTIGATION FEE Yes No_�_ PARK FEE <br /> SAC Yes No (/ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: ��— r <br /> Fire Department: Post Office: School District.• <br /> Lot Area.• Sg.ft. �� Acres Width � , <br /> Depth Z 7�j <br /> Survey Submitted: Yes� No Date of Survey: ,,,3 �o Z�C) � <br /> Proposed Setbacks: /�[� ,�Gy-�j SC%1"��C� <br /> Front(Lake): Right Side: <br /> /C5G '` � e�� S �r�.� <br /> Rear(Street): Left Side,- 3 U� � <br /> �� (a/2S�- SIC� <br /> Adjacent Structures: Wetland: �r� ���� <br /> Building Height: Def.Hg1, w���S fQ�l/��C�C� � <br /> Peak Hgt. �'�y�s <br /> Lot Coverage: ' I � � ` Gvt►�� �5 a�Srde, <br /> �� rQQ��red FiH,ffSid¢ y+�,G' <br /> Grading: Staff,Qpproval Date: �� By: Counci!Approval Date: <br /> Septic: StuffApproval Date: By. ��.— <br /> Zoning File; #,�-�—F— Resolution: # '�-(s_ Resolution Date: � l �� <br /> Shoreland District.• MCWD Permit: <br /> Avg. Setback: BluffSetbac • <br /> R�,�� Lot Coverage: <br /> // p <br /> Hardcover: p_7S� �r���� Pro osed <br /> 75-250' J��� _� vL ho c�'Y-+s�y2+ <br /> ?so-soo� �_�+' ZO = 6� 7�r� <br /> soo-l000� �� �O ��"'�'Y� ` <br /> , �'� <br /> Hardcover T�ariance Reguired.� 3'es No� <br /> Date of Council.Approval:-� <br /> REMARKS(in house): <br /> G n r�h«� �a�,-d��� ,s ess Sh.,� .�I/c�-�n/ l� c��n-�� n i i/ <br /> 33 <br />