Laserfiche WebLink
� r - <br /> �-' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> _ ADDRESS OR LEGAL: 9 5 b VlJ o2n-� !4a r►� I�R��L <br /> � PID: <br /> DESCRIPTION OF WORK: Y��p��n o.� <br /> ZONING REVIEW BY: DATE APPROVED: �- p,-a 2 <br /> BUILDING REVIEW BY: DATE APPROVED: �- �-o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �" No WATER CONNECTTON <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: S-��- 9 S <br /> Proposed Setbacks: <br /> �(Lake): (b"3� Right Side: Z � � <br /> Aenr(Street): `�►g� Left Side: Y� � <br /> Adjacent Structures: l a Wetland: �l//ra- <br /> Building Height: Def. Hgt. C� •I� Peak Hgt. O.�C <br /> Lot Coverage: cs.L< <br /> Grading: Staff Approval Date: �� .k �-�i•o� By: �_•�- Council Approval Date: <br /> Septic: Staff Approval Date: '^" By: <br /> Zoning File: # r- Resolution: # � Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback• �-i� Bluff Setback: /�! (/a- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' /v�C. <br /> 75-250' I"�.6 8 <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vuiance Required: Yes No L Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />