Laserfiche WebLink
4 .� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /Z,g p Ly� q.,,Q <br /> PID: <br /> DESCRIPTION OF WORK: _ �c}.,p,p, r��1 <br /> ZONING REVIEW BY: ��----------------DATE APPROVED: ---io-u •n�--- <br /> BUII..DING REVIEW BY: DATE APPROVED: �c,.Z.c.�_c,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No .� PARK FEE <br /> SAC Yes No �- SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: oru P�l.� N-2-f�5 <br /> Proposed Setbacks: L14�'�1� l�p �p' 6�� <br /> Front(Lake): S3 (�t Right Side: O� 1 ZU �-�- <br /> Reaz (Street): 5 ` S��'Left Side: 3� t 30�t <br /> Adjacent Structures: Ar'�'�'RCMt� Wedand: �V J/f <br /> Bullding Height: Def. Hgt. d�� Peak Hgt. O•!Z <br /> Lot Coverage: bl� <br /> Grading: Staff Approval Date: '—' By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: N d <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <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 /> 7 <br />