Laserfiche WebLink
CHECK OFF i,IST FOR ISSUANCE 4F �E�tMITS ,, <br /> FOR OFFICE USE ONLY � `• <br /> ADDRESSORLEGAL: �// 95 HiLi�woa/� f7-os�,D <br /> PID: <br /> DESCR�TION OF WORK: �v ee c„1 �,¢61•� �r✓ � �s Tr^'� �'�'K <br /> � <br /> ZO�PtG REVLEW BY: � __ --- DATE APPROVED: 6-� -C9b <br /> BUII�DING RE`VIEtiV BY: DATE APPROVED: � -�—oZ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW � Yes —�� No SE�'�ER COYNEC'ITON <br /> STATE SURCHARGE Yes —� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No r/ PARK FEE <br /> SAC Yes No �� STTEINSPECTION <br /> Nurnber of SAC�Units OTHER (specify) <br /> ZONli�IG CH�CK LIST Zoning District: �vt� C H�4Nr-�2, -, <br /> Fire Department: Post O�ce: School District: � � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: . . <br /> Froat(Lake): Right Si e: � <br /> Rear(Street): Left S' e: <br /> Adjacent Structures: Wetland: <br /> Buildin�Height: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: t� Resolution: f/ Resolutioa Date: <br /> Shoreland District: <br /> Av�. Setback: Bluf Setback: L.ot Coverage: <br /> Eust � Proposed <br /> b <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> RE`LARKS (in house): 2 n��9 �.�vP� o�= ��A�M c� w�s r ,�-..�c.-� �S � — <br /> -sc�►�3 t�c.c� r—�c�..- s,—n�.sc 4 :;.�„9 c.� r� - � s� L��— <br /> ��U�✓� FA��`�� r , - <br />