Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> � • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?�g p 3�A c�3s m► �.,� �� <br /> PID: <br /> DESCRIPTION OF WORK: /v� (Z,��S <br /> ZO�1Il�'G REV�W BY: DATE APPROVED: S -°► -no <br /> BUILDING REV�W BY: DATE APPROVED; S-5 - o0 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes :i No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CB LIST Zoning District: R 2-I Iq <br /> Fire Department: Lo�.sco �A-tc.t: Post Office: (.,nrv6 Lt-t��-ti: School District: ���� o <br /> Lot Area: Sq.ft. Acres �i` Width 1 R2�:-��s c�/Z Depth <br /> Survey Submitted: Yes o( No Date of Survey: Z/-ZS=Cx� <br /> Proposed Setbacks: <br /> Front(Lake): �02-2� -� Right Side: 53.'�i� � <br /> Reaz(Street): 230' '� Left Side: 2foo` '� <br /> Adjacent Structures: — Wetland: � � 7 O' . <br /> Building Height: Def. Hgt. �S-`� Peak Hgt. 27•S <br /> Lot Coverage: N (✓-4 <br /> Grading: Staff Approval Date: ,y-°�-w By: �'-�_ Council Approval Date: ^' <br /> Septic: Staff Approval Date: t 2-� -�r� By: C•� <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: N v <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />