Laserfiche WebLink
� t <br /> CHECK OFF LIST FOR I5SUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> AbDRESS OR LEGAL: ► �O O l.�4 K�v i�t,,� '�C . <br /> PID: <br /> _ DESCRIPTION OF WORK: Po Rc.K -� rD�� . � � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 3•�a -0 3 <br /> BUII..DING REVI�W BY: DATE APPROVED: �-r a- a3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J�' No <br /> PLAN REVIEW Yes _�G' No SEWER 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 /> ------__-------------------------------------------------------------------------------------------------------------- <br /> ZOI�TING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey 5ubmitted: Yes_� No Date of Survey: Z-L S-d3 <br /> Proposed Setbacks: � <br /> Front(Lake): '��S� ± Right Side: S� � <br /> Reaz(Street): Zs�� Left Side: 7 3 <br /> Adjacent Structures: ,q.��r�a-c.W-�� Wetland: /J I� <br /> Building Height: Def. Hgt. f9.IG Peak Hgt. <br /> Lot Coverage: �,�( <br /> Grading: Staff Approval Date: �tJ[� By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: N d <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />