Laserfiche WebLink
. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �y(�fo ZV Y ��(,✓-�C.� <br /> PID: <br /> DESCRIPTION OF WORK: �-�t ^Ne.�P�l � f-` � � �T1 e� 9� <br /> ,e. �-,n � a \ <br /> --------------- ----------------------- -------- J <br /> ZONING REV�W BY: DATE APPROVED: <br /> BUII.DING REV�W BY: DATE APPROVED: 3-I b --�f3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAN REVIEW Yes No� SEVVER CONNECTTON <br /> STATE SUR`HARGE Yes � No WATER CONNECI ION <br /> INVESTIGATION FEE Yes No . PARK FEE <br /> SAC Y;,s No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _ ----------------------------------------_______________--- <br /> ZONING CHECK LIST Zoning District: �.P,.e � w�-L r � �}oo S <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right Side: <br /> Reaz(Saeet): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: L,otCoverage: <br /> . g��g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> 1tEbZARKS('m house): �C�•,ewA� 6�= P��w.� r- �cx�S- �e uc „q�r p �4-��N�+-�o� +-�k <br /> P�� a co 'ta.ta�+ F �e �-2�- -- -r c �s � ct��,-ewa�. -� <br /> � ��� <br /> � 26 <br />