Laserfiche WebLink
- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3S5 9 �.tiv�v�r 6 Sro�v �►vg <br /> PID: <br /> DESCKLIP'TION OF WORK: ?,�vv��rsc.c- i nr-r�.c�c. orvc. <br /> ---____ — -- - ---------------- - � <br /> ZO�tING REVIEW BY: DATE APPROVED: ��-9' � <br /> BUII.DING REVIEW BY: DATE APPROVED: �- Z� -�i i3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> pL�,N REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR�HARGL Yes �� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y:;s � No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�tING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> L.ot 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: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> �• I.ot Coverage: <br /> �• Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> � Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> gEMARKS (in house): <br /> • 26 <br />