Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: c�(� (-�AC..��3 L(L�Z� (-���� <br /> PID: <br /> DESCRIPTION OF WORK: _�,,N n o w s -� s ��4�ni� <br /> ZONING REVIEW BY.• N�A w Y DATEAPPROVED:� ��Y____ <br /> BUILDING REVIEW BY.• DATEAPPROT�ED: `T-I-�� <br /> ---------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No f SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Numbe��of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: /VU C f..��g ti� � �� �-'_____________ <br /> Fire Department: Post O�ce: School District: <br /> Lot Ar�ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid � <br /> Rear(Street): Left Side: <br /> Adjacent Str-uctures: W tland: <br /> Building Height: Def Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Appi-oval Date: <br /> Septic: StaffApproval Date: gy; <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: CWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2.i�' <br /> 2�0-.i 00' <br /> 500-1000' <br /> Har�dcover Yariance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />