Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 31`l S �J D R� 5 H-��n,G +o Q. <br /> PID: <br /> DESCRIPTION OF WORK: Nt�,,y �'�,,� <br /> �� ---------------------------------------------------------�-------------- <br /> ZO�YG REV�W BY: � DATE APPROVED• �/- g-a S <br /> BUII,DING REV�W BY: DATE APPROVED: , �_ g -o j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .� No <br /> PLAN REVIEW � Yes � No SE�VER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No V SITEINSPECTION <br /> Number of SAC�Units P�a�p ��,t *� YZ.g3 OTHER (specify) <br /> -------------------------------- -------------!�-�s':�s-------------------------------------------------- <br /> ZONI�IG CHE.CK LIST Zoning District: C,/2•i3 <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sc.ft. �,o-Z Acres y y,lo�c� Width i o°c @ od4w�. Depth <br /> Survey Submitted: Yes � No Date of Survey: ��- �(,-ds" <br /> Proposed Setbacks: <br /> F�roat(Lake): �5� Right Side: 3a <br /> Re� (Street): �00� Left Side: ►�.'i1 <br /> Adjacent Structures: N(14 Wetland: N(A <br /> Building Height: Def. Hgt. 3Q' Peal:Hgt. (�� (��j <br /> Lot Covera?e: 7�� <br /> Grading: Staff Approval Date: ��-�g-o S �.�T�y: CouncIl Approval Date: <br /> Septic: Staff Approval Date: /ll �! By: <br /> Zoning File: # 3���{ Resolution: # Resolution Dace: �-Z'7• o S <br /> Shoreland Dis[rict: U�S <br /> Av�. Setback: ��.,��c.e Bluff Setback: �✓//�h Lot Coverage: 9°1 a <br /> Existin' Proposed <br /> Hazdcover: 0-75' c� o <br /> 75-250' 2 6 <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes 0� No Date of Council Approval: (v� Z�-� <br /> REMARKS(in house): <br /> � <br />