Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PER1vIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �-165 C.�rv/yln� f�f�:- <br /> PID: � <br /> DESCRIPTION OF WORK: Tt-► t?�w�,a.e.� <br /> ZON�'G REVIEW BY: N � �"� DATE APPROVED: <br /> BUII.DING REVIEW BY: ;,� DATE APPROVED: 1 Z�i 3-4 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes No .� SEWER CONNECTION <br /> STATE SURCHARGE Yes t/' No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Jt/o C_�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />