Laserfiche WebLink
CHECK OFF LIST FOR ISSUA.I�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3ti p Iv o z�� ��� �R - <br /> PID: <br /> DESCRIP'i�ON OF WORK: c�,l ,u Rou,�/� <br /> ZO.�.�IG REY�`V BY: DATE APPROVED: f3-3�-��f <br /> BUII,DING REVIE`V BY: DAT'EAPPROVED; �.3 c-oy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�l�1IT Yes � No <br /> PLAl�t REVIEW Yes ✓ No SEWER CONNECI�ON <br /> STATE SURCHARGE Yes ./ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONIt�tG CKE.CK LIST Zoning Districr. <br /> Fire Department: Post Office: School Dis[rict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes a No Date of Survey: oN Fi 1,,� <br /> Progosed Setbacks: <br /> ��t (Lake): Spv '�' Right Side: '��� S <br /> l�e�r (Street): 2bS � � Left Side: l�5� N <br /> Adjaceat Structures: 13� �Vetland: ��� <br /> Building Hei;ht: Def. Hgt. ��i1 Pea.�Hgt. — <br /> Lo[ Coveraje: /J��1 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: t# Resolutioa Date: <br /> Shoreland District: ti �5 <br /> Avg. Setback: O•�� B1uffSetback: N�� L.otCoverage: <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-5Q0' o. �- <br /> 500-IOOQ' <br /> Hardcover Variance Required: Yes No oL Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />