Laserfiche WebLink
� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Z`t � NAv�R2C C�►�v�` <br /> PID: <br /> DESCRIPTION OF WORK: �c.=U.0 <br /> ZO��TING REVIEW BY: DATE APPROVED: S—9 -a 3 <br /> BUII.DING REV�W BY: DATE APPROVED: S-q - �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAI�T REVIEW Yes _,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE � <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIl�IG CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: ons ,���,�`e. <br /> Proposed Setbacks: <br /> Front (�e): 15� Right Side: 6 3� * ` <br /> Reaz(St�eet): S6� Left Side: "�9� � <br /> Adjacent Structures: �4'r*wc�+�o Wetland: N �� <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Covera�e: N�C (6vtA�o�t l,ey�e� 4ec�c� <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�eS <br /> Av;. Setback �r�/� Bluff Setback: /v/A Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' Z� 23•i <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No_ �C Date of Council Approval: <br /> REMARI�S (in house): . <br /> 7 <br />