Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE L'SE ONLY <br /> ADDRESS OR LEGAL: �Z�S ��j�21�y1 `L/ `"� <br /> PID: <br /> DESCRIPTION OF WORK: 7iU - " '}�Yt(�- <br /> ZONING REVIEW BYiJL ' � DATEAPPROi�ED:� l C� <br /> BUILDING REi�IEW BY.• �.,1� DATEAPPROT�ED: -� _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � w�~� �_______ <br /> PERMIT Yes_� No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No u�ATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No_/ SITEWSPECTION <br /> Number of SAC Units �n` OTHER (spec�) <br /> -�— <br /> --------______�_� _�_�_____�-- --- �*---- <br /> ZONING CHECK LIST Zoning District: �`�� � � � 'M ���� M~_ <br /> Fire Department: Post Office: School District: <br /> � /�,� i ' <br /> Lot Area: Sq.ft. �2 7�7 Acres // ` �� Width b V Depth �vv �� <br /> Survey Submitted: 3'es /� No Date of Survey. ��L 2�d" <br /> Propose tb ks: � � � <br /> Front Lake): _��_ Right Side: �� ((J <br /> i <br /> ! <br /> Rear Street): �-(p� Left Side: 7� ',� <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. 3 � Peak Hgt. �� <br /> Lot Coverage: ���" <br /> Grading: StaffApproval Date: b� I"✓L�"I By: /�/� Council Approval Date: <br /> Septic: StaffApproval Date: ��G� �(J �� By.• �� <br /> Zoning File: # /�/ � Resolution: + Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback.• BluffSetback: LotCoverage: <br /> Faisting P�roposed <br /> Hardcover: 0-7.i' <br /> 75-?�0' <br /> 250-.i 00' <br /> 500-1000' <br /> Hardcover !�'a�•iance Required: Yes No� Date of Council App�-oval: <br /> ItBMARKS(in house): <br /> �3 <br />