Laserfiche WebLink
s � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OF CE USE ONLY <br /> ADDRESS OR LEGAL: �' ` ' - <br /> PID: : <br /> DESCRIPTION OF WORK: (J��ck� �q�(1,��� <br /> --------------------------------------n---------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: ct' DATE APPROVED: �t - � - f�3 <br /> BLTILDING REVIEW BY: DATE APPROVED: � - S - S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes c� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: C..(Z� ►L. <br /> Fire Department: y�pun�� Post Office: biad,��7i¢�- School District: ���Tt��4v�1- <br /> LotArea: Sq.ft. (�,b2� Acres ,15 Width S"D Depth l32 <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: , <br /> Front(L-a�ce): `�'Z � Right Side: 3 <br /> Rear (S�eet): !(,.34� Left Side: 3�.' + <br /> AdjacentStructures: 15 � Wetland: N �A- <br /> Building Height: Def. Hgt. � • �- Peal:Hgt. — <br /> Lot Coverage: � 9.f <br /> Grading: Staff Approval Date: N �� By: '– Council Approval Date: — <br /> Septic: Staff Approval Date: /U /� By: - <br /> Zoning File: # Z�-i 0�1 Resolution: # Resolution Date: g'�`'�- `�� <br /> Shoreland District: V.PS <br /> Avg. Setback:r � (/� Bluff Setback: /V//} L,ot Coverage: (5• / <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' b°ld <br /> Hardcover Variance Required: Yes �- No Date of Council Approval: g � Z`1�S� <br /> REMARKS (in house): <br /> 7 <br />