Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( � S p �q�R�0 ��v C��2 r <br /> � PID: <br /> DESCRIPTION OF WORK: (�( G� �7�:..5 �t ���'��'' p� C�A�R <br /> ZOrT�i tG REVIEW BY: DATE APPROVED: 2-�- t�2 <br /> BUII..DI�i 1G REVIEW BY: DATE APPROVED: 2_� _c�2 <br /> '�� � '���'������������«�'��������4�««��������'�»�«��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes 1/ No <br /> PLAi�1 REVIEW Yes �/ No SEWER CONNEC�'TION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes �/ No SITEINSPECTION <br /> Number of SAC Units _�`_ OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: � <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ( No Date of Survey: 1• 13�02 <br /> Proposed Setbacks: �O`'� �0�� �� �" <br /> Front (be�ce): .5.'1 b•I Right Side: i J S-'� `�$ '` <br /> Z,�b� `� <br /> Rear (S�eet): y y•b Sb` Left Side: �6•S <br /> Adjacent Structures: �g� Wetland: /v� <br /> Building Height: Def. Hgt. -30 � Peak Hgt. 3 6 � <br /> Lot Covera�e: c�• K- <br /> Grading: Staff Approval Date: _ �. K By: � Council Approval Date: <br /> Septic: Staff Approval Date: J11 (i� By: <br /> Zoning File: # '' Resolution: # — Resolution Date: <br /> Shoreland District: �f b <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <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 /> 7 <br />