Laserfiche WebLink
' ` � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: I 2 2 S Lq�c,e-•,r€.w A.� <br /> PID: <br /> DESCRIPTION OF WORK: Po 2c'il,� <br /> ZOi�TING REVIEW BY: DATE APPROVED: 9-t -o� <br /> BiJII�DING REVIEW BY: DATE APPROVED: � -� -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Yes �' No SEVVER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO��TG CHECK LIST zoning Districr. (L(2.-I i6 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 20�y 3� Acres , �(� Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): �-10 ' Right Side: 52-5 <br /> Rear(Street): `�l S Left Side: � S'j <br /> Adjacent Structures: �4rn4cc,a.G� Wetland: � l/�F . <br /> Building Height: Def. Hgt. p,�c Peak Hgt. <br /> Lot Coverage: N/c <br /> Grading: Staff Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 0�-2°��o Resolution: # Resolution Date: . . . <br /> Shoreland Disuict: N � <br /> Av�. Setback: Bluff Setback: Lot Coverage: N/C <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />