Laserfiche WebLink
, • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 26 o S /MAp�/1.�DGC (�q,r�r�c.,3' <br /> PID: <br /> DESCRIPTION OF WORK: �, � <br /> ZONING REV�W BY: DATE APPROVED: q-t t-02 <br /> BUII..DING REVIEW BY: DATE APPROVED; �, -i �-6Z. <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK 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: Z• 1d-!!f8 �c�.v ��v�: <br /> Proposed Setbacks: <br /> Fsoat(Lake): 99� =F' Right Side: 1 t3t�' ± <br /> R.ea�(Street): 9�'� �' Left Side: ZS' � <br /> Adjacent Structures: �-r-�vac.r-rc..� Wetland: /�!J�/�- <br /> Building Height: Def. Hgt. �/ fr�- Peal:Hgt. — <br /> Lot Coverage: — N//� <br /> Grading: Staff Approval Date: "" By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # —' Resolution: # Resolution Date: <br /> Shoreland District: y-{rs <br /> Avg. Setback: �,,�. Bluff Setback: �//�}- Lot Coverage: — <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 2so-soo� G,��, <br /> soo-i000� <br /> Hazdcover Variance Required: Yes No_�. Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />