Laserfiche WebLink
< < <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�lD C�C��OE7V Uf� <br /> PID: - �� � - .� �, . - ��� <br /> DESCRIPTION OF WORK: ni c�w r2ES <br /> ZOi�1Il�TG REVIEW BY: DATE APPROVED: Y-�6-�ie <br /> BUII.DING REVIEW BY: DATE APPROVED: �t -��, -5`� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes c� No SEWER CONNECITON <br /> STATE SLTR`I3ARGE Yes � No WATERCONNEC"TION <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y.:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�iG CHECK LIST Zoning Disuict: RZ�l(� <br /> Fire Depar[ment: � Post Office: ,� � School District: ORON o <br /> Lot Area: Sq.ft. �7• '2� Acres Z •�a Width ZS 2• A�t Depch 3`(�•l � <br /> Survey Submitted: Yes_ c� No Date of Survey: � -Z Y•�l9 <br /> Proposed Setbacks: � <br /> Front (L-�e�- _ �0.t Right Side: (�'�.�f <br /> Rear(Street): 2t7-I��' Left Side: b'7•(o <br /> Adjacent Structures: N j/� Wetland: /�1(f3 <br /> Building Height: Def. Hgt. �c> Peak Hgt. �) ` <br /> Lot Coverage: N�R' <br /> Grading: Staff Approval Date: y '�� • 5 8 By: ��_ Council Approval Date: <br /> Septic: Staff Approval Date: '-{-(s-�'� By: �,c.�. <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland DisL-ict: . <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> � Ezisting Proposed <br /> �• Hardcover: 0-75' <br /> �• 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> gEMARKS (in house): <br /> � 26 <br />