Laserfiche WebLink
�� <br />' CHECIi OFF LIST FOR ISSUr�iNCE OF PERI�SITS <br /> FOR OFFICE USE ONLY <br /> �iDDRE�SS OR LEGAI.: ,Zi e� �vt�-��"-t- c�-,� <br /> PID: <br /> DESCRIPT'ION OF WORK: �'!��-�--p}-� �- <br /> -------------- --------- <br /> ZONING REV�W BY: iti �� DATE APPROVID: <br /> BUII.DING REVIEW BY: -"�; ` .tiv�.� DATE APPROVID: r z- i� `r `� <br /> - --------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PL?�N REVIEW Yes No � SEWER COi�tNECTION <br /> STATE SURCHARGE Yes �� No WATER CONv'ECT'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------- <br /> ZOivING CHECK LIST Zoning District: t Shoreland District : <br /> i <br /> Fire Department: Post Office: ,�chool District: <br /> � <br /> Lot Area: Sq.ft. Acres Width � Depth <br /> � <br /> Survey Submicted: Yes No Date o;f Survey: <br /> Proposed Setbacks: � � %� <br /> Front (Lake): Right Side: / <br /> � � <br /> Rear (Street): � L,eft Side: � <br /> 1 � i <br /> Adjacen[ Structure�'s: Wetland:/ ' <br /> / <br /> Building Height: Def. Hgt. Peak H�t• <br /> � — - <br /> Avg. Setback: Bluff Setback: Lot verage: <br /> E�isting j I� Proposed <br /> Hardcover: 0-75' j � <br /> 75-250' ,.T— <br /> 250-500' <br /> 500-1000' �_ <br /> j <br /> Hardcover Variance Required: Yes � No Dateiof Council Approval: <br /> Grading: Staff App <br /> roval Date: � By: Council Approval Date: <br /> i <br /> Sepuc: Staff Approval Date: i By� <br /> Zoning File: # Resolution: 7 Resolution Date: <br /> R;�;�N[ARI�,S (in house): <br />