Laserfiche WebLink
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS . <br /> FOR OFFICE USE ONLY <br /> ` ADDRESS OR LEGAL: '3y b o �1 V��S 1v^� - <br /> PID: <br /> DESCRIPTION OF WORK: St�-�y, <br /> ZONING REVIEW BY: DATE APPROVED: �3 � -�5 <br /> BUILDING REVIEW BY: DATE APPROVED: S -� -5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � <br /> PERMIT Yes ✓ No i <br /> PLAN REVIEW Yes �-9- No v SEWER COrfNECTION I <br /> STATE SURCHARGE Yes _�� No WATER CONNECITON � <br /> INVESTIGATION FEE Yes No PARK FEE I� <br /> i <br /> SAC � Yes No SITEINSPECTION j <br /> Number of SAC Units OTHER (specify) � <br /> I <br /> ZONING CHECK LIST zoning District: �o c c f�w� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres idth Depth , <br /> � <br /> I <br /> Survey Submitted: Yes No Date of Survey: i� <br /> i <br /> i <br /> Proposed Setbacks: � I <br /> Front(Lake): � '�' Right Side: I 0' � <br /> . ` <br /> Reaz(Street): � '�"" Left Side: 3 b� -�- <br /> � <br /> Adjacent Structures: I 0, 'f' Wetland: ; <br /> i <br /> Building Height: Def. Hgt. 9 ` Peak Hgt. — �, <br /> Lot Coverage: o -bt I <br /> � <br /> Grading: Staff Approval Date: By: Council Approval Date: I <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: I <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: Lot Coverage: , <br /> Ezisting Proposed ' <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />