Laserfiche WebLink
. . <br />. .0 t -� . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> OR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ �-�— (�(� �_� � �'+�� 1/��� �Z � �� <br /> � <br /> PID: <br /> DESCRIPTIDN OF WORIi: �.tJ �;.1;�� �- <br /> ZONING REVIEW BY.• l DATEAPPROi�ED:'7� /•Q� <br /> BUILDING REVIEW BY.• DATEAPPROTrED: �- � .�c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � � <br /> PERMIT Yes � No <br /> PLAN REl'IELV Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE �3+--.-� No ✓ PARK FEE <br /> SAC Yes No !/' SITEINSPECTION <br /> - NumberofSAC Units Q�„�'�' ��c� ,Z_�Y �d� 07'HER (spec�) <br /> ZONING CHECK LIST Zoning District: � �— ( � y <br /> Fire Depm�tment: Post'S�ce: School District• <br /> i � <br /> �ot A��ea: Sg.ft. Acres�� ^Width 2d,�� Depth l�C <br /> � / • C., <br /> Survey Submitted: Yes (/ No Date of Survey: ZU �'-] <br /> �.Q.v Coj�vl 0 8 <br /> Proposed Setbacks: <br /> �F�-ont(Lake): �� ��Side: �� � �C� /%-��C,uY C�h J 1��9�'/l-Yyrl�,�/ <br /> ' � �U� / <br /> Rear(Street): � .beft Side: <br /> i <br /> Adjacent Structures: {�/�' Wetland: S�J <br /> r �.� � <br /> Building Height• Def Hgt. �� Peak Hgt. J <br /> G�Lot Coverage: Q <br /> Grading: StaffApproval Date: � l� � By: �(Uq� Council Approval Date. <br /> Septic: StaffApp�•oval Date: �I '(�'C.� g gy, �`r' , <br /> �Zoning File: # 0��33�3 Resolution: # Resolution Date: 3 I O�C�� <br /> Shoreland District: V MCWD Permit: <br /> Avg. Setback.• i�!/�-}� Bluff Setback: Lot Coverage.• <br /> ��g ��-il���/ Proposed <br /> Hardcover: .LI�ZS- r �� <br /> 75-..50 <br /> �so�soo, s� � y Z�Z p-��2�.� <br /> 500-1000' <br /> Hardcover Gariance Required: 3 es No� Date of Council App�•oval: <br /> REMARKS(inhouse): Ht4h�s�- �..t��s�� q;r�� ��i �j <br /> 33 <br /> / <br />