Laserfiche WebLink
� , , CHEC�i OFF LIST FOR ISSUA..�TCE OF PERi.tiSIT'S <br /> _ FOR OFFICE USE ONL,Y . � . <br /> ADDRESS ORLEGAL: 2 S �1 1<�CLL-�f Av E <br /> PID: <br /> DESCRIPTION OF�ORB: /V��3 2�� <br /> . <br /> ZONL'G REV1Eti�BY: DATE APPROV�D: /2- 2� -va <br /> BUILDI�i'G REY��BY: . D�TE APPROYID; �L- 2 t -o� <br /> FEES TO BE CH.ARGED: biisc. Fees Calculated By: <br /> pERMIT Yes _� No :. <br /> pI,AN REVIEW Yes _� No SEWER COYNECITON <br /> STATE SURCHARGE Yes_� No WATERCON�TECTION_ <br /> IlV'VESTIGATION FEE Yes No P?►RK FEE <br /> SAC Yes No �_ SITEINSPEG"TION <br /> Number of SAC�Units C,r�,, ✓�� OTHER (specify) <br /> ZO�iZ�IG CT3E.CK LIST Zoning Districc: L fL-�� . <br /> Fire Deparcment: ,�o u rv� Post Ofnce: .�p W�on,��4school District: � s'r'����' • _ <br /> Lot Area: Sq.ft. y lFQ3 I. 1�1 Acres l ,07 9� Width ( 3�•5 y # Depch 33�i•5/4� <br /> Surve;Subritted: Yes �. No Date of Survey: �2 '� �� <br /> Proposed Setbacks: � � <br /> F�e�nt(La.ke): I�i�� � Ri�t Side: � '� <br /> R�eer (Screet): �I. ( Lefr Sida: `1�?:� 't' <br /> Adjacent Structures: �J I t/� �Vettand: — • � <br /> Buildin�Hei;ht: Def. H�t. 30` Pea.�Hgt. �1.S <br /> Loc Coverage: �•1L <br /> Gradin�: Stafi Approval Date: 1- �b –t�l By: �d - Council Approvai Date: — _ <br /> Septic: Staff Approval Dace: itf ► /� By: <br /> Zoaing File: � '— Resotution: � — Resolutioa Date: — � . . <br /> Shoreland District: S <br /> Av�. Setback. e� •1�-- Btuft Setback: _ /� /� . LotCorera�e: �.I - <br /> Existin; Progosed <br /> Hardcover: 0-7�' � <br /> 75-250' Zy. <br /> 2sasao� zg :Z3 <br /> 500-I000' <br /> Hazdcover Variance Required: Yes No � Date of Co�cil Approval: <br /> gTI�IAR�;S(in house)• <br /> 7 <br />