Laserfiche WebLink
• r � CHECR OFF LIST FOR ISSDANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �Y`�' f--; .�� � -�_ PID: '� C; ,' - - � � �= <'�-5 .� <br /> DESCRI PTION OF WORR: r���� �-��;'� � �� �'��C< f� ��-,� <br />_____________�____�_��_________-____�_�__�_______�_____��_if�__�__ � <br /> ZONING REVIEW BY:�C�^w`-- DATE APPROVSD: (; �1 Z . <br /> BIIILDING RLVIEW BY: �� �1.v._s DAT$ APPROVED: (o 'I�'i Z-- <br />---------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� / PARK FEE <br /> SAC Yes No �� SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------- . l3 <br /> ZONING CHECK LIST Zoning District L,e-1 <br /> Fire Department: {ilila�N✓� Post Office: c,u/�z�-�'� School District: �1/�/I <br /> Lot Area: Z •s �-�-5 ± Width: �JI���=� Depth: U r�i�ss <br /> Survey Submitted: Yes '� No Date of Survey: /0� 3-5/ <br /> Proposed Setbacks: � <br /> F�� (Lake) : Z 15 "�' Right Side: /V�R <br /> i� <br /> �ez.�-r (Street) : - Lef t Side: N � <br /> Adjacent Structures: /2� Wetland: N�/� <br /> Building Height: Def . Hgt. ��• K Peak Hgt. <br /> Avg. Setback: � , �L Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' i�by `�� � �°`� ° <br /> 75-250 � �r. 3`�� �r•3 �` <br /> 250-500 ' �p.� �Q�' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No JC Date of Council Approval: <br /> Grading: Staff Approval. Date: ! By: Council. Approval Date: <br /> Septic: Staff Approval. Date: BY= <br /> Zoning File:# Re ol tior� # : Resolution Date: <br /> �RMARRS (in house) : <br /> f: <br /> �_ <br />