Laserfiche WebLink
. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AnnxESS OR LEGAL: �I'3 5 �v`ti�'�'���-o�„-� ►�✓a,� <br /> PID: <br /> DESCRIPTION OF WORK: ���,," P��-e.l� <br /> ------------------------------------------- --------------------------------------------------- <br /> ------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 4- 2- �'� <br /> BUILDING REVIEW BY: DATE APPROVED: � - z- y � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �" No SEWER CONNECTION <br /> STATE SURCHARGE Yes �i No WATERCONNECTTON <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: (Z R � f� <br /> Fire Department: �,t�iv b l A.r(,� Post Office: �o nr c� (i(�-//1,c�School District: [��� <br /> Lot Area: Sq.ft. /V'c� C�1�4-ns�Acres Width Depth <br /> Survey Submitted: Yes /� No Date of Survey: o�v (�r C�.r S'--i'-t-£'',�( <br /> Proposed Setbacks: <br /> F�(Lake): Z"2�� t Right Side: (gS� } <br /> Rea�(Street): +q(�� � Left Side: I gs� 't <br /> Adjacent Structures: �S � t Wetland: �(D � <br /> Building Height: Def. Hgt. (� ,�� Peal:Hgt. - <br /> Lot Coverage: (� �K <br /> Grading: Staff Approval Date: ^' By: '� Council Approval Date: — <br /> Septic: Staff Approval Date: �-- By: •-- - <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: y�P 5 <br /> Avg. Setback: (��I�- Bluff Setback: c��}< Lot Coverage: N �,r� <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> 500-1000' 4, (� <br /> Hardcover Variance Required: Yes No G- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />