Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i Zo (�o�r��-.-�. v v��w d2��e <br /> PID: <br /> DESCRIPTION OF WORK: 5H v� 32.x S� <br /> -------------------------------------------------- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: � , DATE APPROVED: (,•Z Y- o z <br /> BUILDING REVIEW BY: DATE APPROVED: G •ZY -�L <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oC No Date of Survey: (�-�7-o Z <br /> Proposed Setbacks: <br /> Front F�dcc): 1 55•5 � Right Side: 30' �' G1"� <br /> Rear (£�re�j: 1 Z�� ± Left Side: 3c�v� � � <br /> AdjacentStructures: )�,Z Wetland: ^ <br /> Building Height: Def. Hgt. c9��L Peal:Hgt. ��C <br /> Lot Coverage: — <br /> Grading: Scaff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V� <br /> Avg. Setback: Bluff Setback: Lot 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): pW�e,2 T'O 5t bh.S "o��S� �� �«ess�4-�, au�6 <br /> c,����' �_ <br /> � <br />