Laserfiche WebLink
� � <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> '°'�"" FOR OFFICE USE ONLY <br /> ADDRESSO �� ��: .�L�� a �/ ��, PID: <br /> DESCRIPTIO� 7RK• y'��c,� „>�,c�-.�r.�� <br /> -------------------- � . � �_��_----------------------------------------------------- <br /> ZONING REVI�:v. � �Q.v�._ DATE APPROVED: �i-z7—�S <br /> BUILDING REVIEW BY: �p� ('Q�_ DATE APPROVED: � -27��5 <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 P��a <br /> SAC Yes f No SITE INSPECTION �' <br /> Number of SAC Units __�_ OTHER (specify) -s��"�' <br /> ZONING CHECK LIST Zoning District: (,.2��✓-� Shoreland District : '.e� _ <br /> Fire Department: �,4� Post Office: (,o rc,� School District: p(t�rvp <br /> Lot Area: Sq.ft. g7,773 Acres Z Width l g 9. c►� Depth S$"� ,28 <br /> Survey Submitted: Yes �_ No Date of Survey: $�'- "�-9S' <br /> Proposec� Setbacks: <br /> Front (�e): 3�� � Right Side: �/2•�3 � <br /> Rear (Strcct): S�` Left Side: YD.Sti • O <br /> Adjacent Structures: �/f��19- Wetland: �✓�(/4 <br /> Building Height: Def. Hgt. Z 2.� Peak Hgt. 3 Z •B <br /> Avg. Setback: /l/�� Bluff Setback: �' Lot Coverage: ! <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' Z S;.ht <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> Grading: Staff Approval Date: � � 2?- S S By: �U• Council Approval Date: <br /> Septic: Staff Approval Date: I��A By: <br /> Zoning File: # -� Resolution: # '"— Resolution Date: r"- <br /> REMARK,S (in house): <br /> 26 <br />