Laserfiche WebLink
t <br /> 1 <br /> • � • � CHECK OFF LIST FOR ISSUANCE OF � <br /> ' FOR OFFICE USE ONLY �,� a <br /> �. <br /> . ADDRESS OR LEGAL: _�`f�' '�,,�� f��R�.� �, � <br /> PID: ,�L(';— J I'7� �3� �-f 3 — C����l'1 � ' � — <br /> DESCRIPTION OF WORK: `f�.��Q,�� ������ ;� � — <br /> ----------------------------------------------- -------------------------------- ,� � — <br /> �� -- <br /> ZONING REVIEW BY: �" --� DATf �;,i"�'/ <br /> BUILDING REVIEW BY: r= � DAT� � � _ <br /> ------------------------------------------ ------------------------------------• � --- <br /> FEES TO BE CHARGED: Misc. Fees Calculat �' <br /> PERMIT Yes �,/ No � �� '�� <br /> PLAN REVIEW Yes ✓ No SEW � <br /> STATE SURCHARGE Yes r/- No WAZ � <br /> INVESTIGATION FEE � Yes �/ No PAR� � LL <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L� - I� <br /> Fire Department: ��`,� t �:�� Post Office: ; C, '�`��1. School District: ��1�`�,�u iCf� L`���f j)��(�{� <br /> L,ot Area: Sq.ft. f��4c3�1.�7 Acres � � Width �L � Depth ,�.1 J��' <br /> Survey Submitted: Yes X No Date of Survey: !�i�`t:�. L<-�,�Cl`�CC�� t�i`!�� <br /> Proposed Setbacks: ����W,��,K <br /> Front (Lake): �o- hu` -h-��ri�I<<I�Right Side: .�� ' <br /> Rear (Street): - Left Side: � <br /> Adjacent Structures: Wetland: - <br /> Building Height: Def. Hgt. - Peak Hgt. — <br /> Lot Coverage: .�L'��o t��7�����;<c.# i.i'�C��J �r- C�����-�. I`(�1=�- <br /> Grading: Staff Approval Date: - By: ` Council Approval Date: �� `� �"C�- <br /> Septic: Staff Approval Date: - By: <br /> Zoning File: # ,;1- ;�-�3 % Resolution: # Resolution Date: � �- '7�Ti <br /> Shoreland District: L P-(C, <br /> Avg. Setback: - Bluff Setback: - Lot Coverage: �3-� � /�' <br /> Existing Proposed <br /> Hardcover: 0-75' '��(-S (l b. !0 7�%� '7(�(_ 5 ( /�.(�'7���� � <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes XX No Date of Council Approval: i �<3 � C'�- <br /> REMARKS (in house): �- c.�.3 0�'`+� s r-�-n.y-r� :�:�� ;p.�n�.<i <br /> 7 <br />