Laserfiche WebLink
CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��tS 3 No 2�� Mi cz.w� {�R <br /> PID: <br /> DESCRIPTION OF WORK: �pE�,�c <br /> ZO�.vI�1i G REVIEW BY: DATE APPROVED: �-t- o s <br /> BUII�DII\G REVIE`V BY: DATE APPROVED: c,_�_o s' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW � Yes �/ No SEWF�t CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECZTON <br /> INVESTIGATION FEE Yes No PARK FEE � <br /> SAC Yes No SIT'EINSPECTION <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. 1�I.9 4 3 Acres . 3`f Width 7 y.�d 5 Depth 19�.b'3 <br /> Survey Submitted: Yes �C No Date of Survey: $-8•05 <br /> Proposed Setbacks: <br /> Front(Lake): _ S S��'f Right Side: ��' ?' <br /> Reaz(Street): I ZO' t Left Side: ��� <br /> Adjacent Structures: �o'+e s H�» Wetland: N I IA <br /> Building Heioht: Def. Hgt. rV�,�1 Peal:Hgt. <br /> Lot Coverage: �0•�t <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # "' Resolution: # Resolution Date: <br /> Shoreland District: v�es <br /> Av�. Setbac� �/��F Bluff Setback: �►//�l L.otCoverage: I 0� `( <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' ,[ 1 S�70 <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REI�LARKS (in house): <br /> � <br />