Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br />' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 y�� �v � Q�� <br /> PID: <br /> DESCRIPTION OF WORK: Zoor- c c-�-�vvC�c3 <br /> ---------------------------------------- ------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: �� DAT'E APPROVED: 3- zs�-S9 <br /> BUILDING REVIEW BY: DATE APPROVED: 3 • ZS-g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L� � L. <br /> Fire Department: (/1�t,;,�.•,,� Post Office: �'�;�,.� School District: �..�-�-�>��.v��.-� <br /> Lot Area: Sq.ft. �5,��y� Acres • 7�<:, Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: C� F:-��,�; <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> i11-� G�-e <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. i�� �� Peak Hgt. <br /> Lot Coverage: " <br /> � <br /> Grading: Staff Approval Date: �� By: `- Council Approval Date: <br /> Septic: Staff Approval Date: � By: -- <br /> Zoning File: # �.`Z.Z7 Resolution: # ��L�� Resolution Date: <br /> Shoreland District: , ��h <br /> Avg. Setbac : ti'.�i Bluff Setback: /J�� Lot Coverage: �/� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' /U''J C`f��� <br /> 250-500' <br /> 500-1000' <br /> Hardco��e; Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />