Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �i �S ����;�'..�� �e ���✓Q <br /> PID: - <br /> DESCRIPTION OF WORK: _'� " x /� � ��P c K C h,�/<r �� <br /> � <br /> ZONING REVIEW BY.• � �' DATEAPPROT�ED: � � y <br /> B UILDING REi�IEW BY.• � DATEAPPROTfED: 6 -�c� . ��3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PL�4N RE i'IEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No_l� PARK FEE <br /> St1C Yes No � SITEWSPECTION <br /> Number of SAC Units OTHER (spec�) <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� No D� of Survey: _ <br /> G r'('`( �"�� �cC,t N <br /> Proposed Setbacks: �`> ►��:' �'c'v �tc"S� <br /> Front(Lake): ��G`� t � <br /> �Zight Side: �Q <br /> Rear(Street): ��1�' Left Side: �� <br /> /� � <br /> Adjacent Structures: �1�+ Wetland: -T � �z <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: !J f�— <br /> Grading: StaffApproval Date: By: CouncilApproval Date: <br /> Septic: StaffApproval Date; �`' � By. (��;.� <br /> Zoning File; # Resolution: # Resolution Date: <br /> � � '" .,�,��,. <br /> Shoreland District.� IrJ�(Cc o t.y �c E�, ��.�� -�(� MCWD Permit: <br /> Avg. Setback, BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-?50' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Required: Yes No Date of Council.4pproval: <br /> REMARKS(in house): Q.�-�zti�c( S��"�J�-+C �C.. � ��1� L b]�; <br /> r ��nti� 1 e c� `l-�� �:� � <br /> ��-1�% ' ��C;tcr�_� i <br /> L� E�'. ' �� wt �1 �C C.-r� L�.A-°'� C'GvtS }YZJC v/ D� '1`ei <br /> S �G2C1C� ::.� ir� . <br /> � Y�71�1� <br /> (�'��viC� �r_Ci5 ��-e,d� /-�Cle��2(;� • �j-�'�-ti' Z�"'n�ji�n�� w�(� �O� V'L� ��c�eCi t <br /> h.�-� - ;� ���� ;s �� ►������,I . � ���<< �.> i z K �z <br /> � c����wa ��,�� <br />