Laserfiche WebLink
i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> ' FOR OFFICE USE ONLY • � <br /> A.DDRESS OR LEGAL: l'��3� /V C� A R�v� �p l� <br /> � PID: <br /> DESCRIPTION OF WORK: 2,�c-t ' <br /> ZO�TING REV�W BY: DATE APPROVED: �c�- )y- 9 g <br /> BUII�DI�i 1G REV�W BY: DATE APPROVED; �t�- t�- g g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ; <br /> PERNIIT Yes e� No I <br /> PLAN REVIEW Yes [/ No SEWER COrfNECTION <br /> STATE SURCHARGE Yes v No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: LQ- I 6 <br /> Fire Department: yv�,��ne,p Post O�ce: v�nro�� School District: t�r�+s T'sN!� . <br /> Lot Area: Sq.ft. 'Z-`�,V(,G Acres •� � Width l V v`'1 Depth Z�i 5.c? pv�c <br /> Survey Submitted: Yes D� No Date of Survey: �r•�b,9 g <br /> Proposed Setbacks: � <br /> Front(�a�: j )7 '�' Right Side: 1 4� � <br /> Reaz(SLr�at): �1 S � �' Left Side: S S� <br /> Adjacent Structures: �¢T7)4 c!f�� Wetland: N/A <br /> Building Height: Def. Hgt. C�•{� Peak Hgt. u�(c <br /> Lot Coverage: �/, �► S°?o � <br /> Grading: Staff Approval Date: N//* By; Council Approval Date• <br /> Septic: Staff Approval Date: N I� By: <br /> Zoning File: # N /�- Resolution: # Resolution Date: . <br /> Shoreland District: <br /> Avg. Setbac : �J/A- Bluff Setback: /�//a- Lot Coverage: �W <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' �`1°To <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No 0'� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />