Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: i u�s I-{�(Z�T I�C�G (�►�� <br /> PID: <br /> DESCRIPTION OF WORK: Lo w 2c. [,Ev V C.- i�+v�s l4 i <br /> ZO1`ING $EVIEW BY: N � DATE APPROVED: 2-zs-03 <br /> BUII..DPi tG REV�W BY: DATE APPROVID; _�-Z s -�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �' No <br /> PLAi�t REVIEW Yes � No SEWER COi�TNECITON <br /> STATE SURCHARGE Yes _,C No WATFIZ CONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No c/ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: /U� c I-Fr4rv�j�Q <br /> O <br /> Fire Department: Post Office: School Districr. � <br /> L,ot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vetlan�l: <br /> � <br /> Building Hei;ht: Def. Hgt. Peal:H�t. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: � Council Approval Date: <br /> Septic: Staff Approval Date: By: �_ <br /> Zoning File: # Resolution: # �tesolution Date: <br /> Shoreland Distric[: <br /> Avg. Setback: Bluff Setback: _� L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> I <br /> 75-250' ; <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />