Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY � . <br /> , ADDRESSORLEGAL: _ Ze�S rvoNR-� sN�oNt �02. <br /> PID: <br /> DESCRIPTION OF WORK: Qo.� <br /> ZONING REVIEW BY: DATE APPROVED: 4-t 3-oz <br /> BUILDING REVIEW BY: DATE APPROVED; �-i 3�a Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNEG"TION <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 p� No Date of Survey: orr t=�� <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): Left Side: /4'OQ/�OVe� �� ������' <br /> sirr: (�c.�NN 4Ar� 5-�y-ol <br /> Adjacent Structures: 1�Vetland: ��P��,��p 5 _Z,�{_o� <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resoludon: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> E���g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />