Laserfiche WebLink
` �HEC� OFF i.IST FOR ISSUANCE OF �ERIYIITS <br /> FOR OFFICE USE ONLY <br /> �T}DRESS OR LEGAL: � � ' � - � <br /> PID: <br /> )DESCRIP`I.�ION' OF WORK: r� � "� <br /> ~ VIE�V BX: �^-- - - -------- pATE APP�.OVED: l o- z�a 6 <br /> ZOYNG RE <br /> �UII�DING REVIE <br /> �V BY: � DATE APPROVED: �o-z.—o 6 <br /> F'EES TO BE CHA�RGED: � Misc. Fees Calculated By: <br /> P��T Yes � No <br /> PLAN REVIEtiV � Yes _�' No SE��ER CONNECTION <br /> STATE SURCHAR.GE Yes � No WATERCONNECTION <br /> INZIESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------- <br /> ------------�-�------ /1/� C' �i4� <br /> -------------------------- • � <br /> -- � ° � <br /> ZOi�i IG CTLE.CK LIST Zoning Districr. <br /> Fire Deparcmenc: <br /> Post Office: Schaol District: � <br /> Lot Area: Sq.ft. Acres Widch Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks`. <br /> Froat(Lake): Riaht Side: <br /> Rear(Street): Left Side: <br /> �',•i�3CPnr .Crns�h1r�.c; `VetlanCl: <br /> auilc;ing Height: Def. Hgt, Peal:Ho�• <br /> Lot Covera�e: <br /> B Council Approval Date: <br /> Gcading: Scaff Approval Date: Y� <br /> Septic: Staff Approval Date: ' v l� �Y� <br /> Zoaing File: � Resolution: n________ esolution Date: <br /> Shoreland District: L,otCoveraoe• <br /> Av�. Setback: B!uff Setback: � ' <br /> Eusting Proposed <br /> Hardcover: G-i�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' � <br /> �� <br /> �/ �i0 L73[� Oi COLLC'� i`.NYrO'+2�: <br /> H�:dcover Va�iznce Requirzd: .e� <br /> RE�L=�.RI�S (in house): <br />