Laserfiche WebLink
4 <br /> � , <br /> CHECK Ok�k' LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGA�,: 3l 5 h4 oc,.c.,rAt� D�tZ ��.4+� � <br /> PID: <br /> DESCRIPTION OF WORK: (i�vvc,u,pC� <br /> ZO�G REY�tiY BY: N I iA ---------------DATE APPROVED: ------------------ <br /> BUII.,DI�i iG REV�`V BY: . DAT'E APPROVED: �-Z 3- o�f <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓� No <br /> PLAl�T REVIEW Yes � No SEWF�CONNECI'ION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning Districc: r!� C/-�i4N�,Q . <br /> v <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres � Width Depch <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right 'de: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Hei�ht: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Gradina: Staff Approval Date: By: Council Approval Date: <br /> Septic: Scaff Approval Date: By: <br /> Zoning File: # Resolution: f# Resolucioa Date: � <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setba k: I.ocCoverage: <br /> ExisCmo Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REl�'LARSS (in house): <br /> 7 <br />