Laserfiche WebLink
� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 365�5 Lv R�c. �4 vQ <br /> PID: <br /> DESCRIPTION OF WORK: ec�c �,e N k�N,/� <br /> ZONING REVIEW BY.• DATEAPPROifED: t�-i y. o�_ <br /> BUILDING REVIEW BY.• DATEAPPRO f�ED: 1 d.r y.o p� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: N o �,.�,,,��,,p <br /> Q' <br /> Fire Department: Post�ce: School District: <br /> Lot 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 /> Adjacen[Structures: W tland: <br /> Building Height: Def. HgZ• eak Hgt. <br /> Lot Coverage: <br /> Grading.• Staff Approval Date: By: Counci/Approval Date: <br /> Septic: Sta,fJ'App�•oval Date: By. <br /> Zoning File: # Resolution.• # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: B1uffSe ack: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-7.i' <br /> 75-2�0' <br /> 2.i 0-.i 00' <br /> .i 00-1000' <br /> Hardcover 6�ariance Required: Yes N Date of Council Approval.• <br /> REMARKS(irr house): <br /> � <br /> 33 <br />