Laserfiche WebLink
� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�f c1 r1 K C l,L.� /q'v�' <br /> PID: <br /> DESCRIPTION OF WORK: t4T-{ ����- <br /> ZO�TING REVIEW BY: �P � -- DATE APPROVED: � Z- r 4 -u a <br /> BUII�DING REVIEW BY: DATE APPROVED: � z{� -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes ✓ No <br /> pLAN REV�W Yes No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No v STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ��________________ __---- -------------____ --- --------------- <br /> ZOti7�'G CHECK LIST Zoning Districc: �(/'o C K�1/� � <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes No , Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: � <br /> Rear (Street): Left Side: <br /> Adjacent Structures: We d: <br /> Building Hei�ht: Def. Hgt. Pe Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> Septic: Staff Approval Date: BY <br /> Zoning File: # Resolution: # Resolution Date: . . <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' ��; <br /> 250-500' . �, <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />