Laserfiche WebLink
CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �pZ� t—i eR�Z A�� LAr�� <br /> PID: <br /> DESCRIPTION OF WORK: 2,n�c� �(.o 0 2 �'Lc ww,�Z <br /> ZO�G REVIEW BY: DATE APPROVED: 9 -.S'-o S <br /> BUII�Dl�G RE'VIE`V BY: DATE APPROVED: q -s-o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes �/ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes � No `VATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOti'P�i G CH�CK LIST Zoning District: N� cc-�-�-e <br /> Fire Department: Post Office: _ School District: <br /> Lot Area: Se.ft. Acres Wid[h Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Se[backs: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: � etland: <br /> Building Hei�ht: Def. H�[. Pe • Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By Councll Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zonin� File: � Resolution: # Resolution Date: <br /> Shoreland Districr. <br /> Av�. Setback: Bluff Setback: L.ot Co�•erage: <br /> E;istin� Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-SQO' <br /> �00-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> R�EI�LARI�S (in house): <br /> � <br />