Laserfiche WebLink
� CHECIf OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-1 D7 L.�v�r�Gsr o rv i4 v e <br /> PID: <br /> DESCRIPTIONOF WORK �,,�,,qr-cti 2 t�A,n,,,46 E R�p,q�i� <br /> ZONING REVIEW BY: DATEAPPROT�ED: <br /> BUILDING REi�IEW BY.• DATEAPPROi�ED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes No c/ SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> WVESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No J SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �v'� c[,F�4�,Q <br /> Fire Department: Post�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted.• Yes No ate 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 gt. <br /> Lot Coverage: <br /> Grading: Staff'Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By; <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: WD Permit: <br /> Avg. Setback: Blu,fy'Setback: LotCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />