Laserfiche WebLink
•� 2 f � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ��{(�O rv C�fz Tl+ s�-p(�t, UJ� <br /> PID: <br /> DESCRIPTION OF WORK: ��,0,T,�o nr5 <br /> ZO.�TI�Ti G REVIEW BY: DATE APPROVED: "f - �(- o� <br /> BUII.DING REVIEW BY: DATE APPROVED; --� -2y -ca t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes _� No <br /> PLA��1 REVIEW Yes JG No SEWER CONNECITON <br /> STATE SURCHARGE Yes v No WATERCONNEG"ITON <br /> INVESTIGATION FEE Yes No v- PARK FEE <br /> SAC � Yes No �/ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO1VI1�1G CH�CK LIST Zoning District: N o G N�vv'c�Q <br /> Fire Department: Post Office: School District. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: n.v 1=�lrl: <br /> Proposed Setbacks: � <br /> �eef(Lake): I 10 ;= Right Side: /S 1 <br /> R�(Sueet): �JZ�' r Left Side: 11 ."j <br /> Adjacent Structures: i¢r77'�c/,F�.'✓� Wetland: /✓�A <br /> Building Height: Def. Hgt. t� • 1� Peak Hgt. d•<< <br /> Lot Coverage: O. lL <br /> Grading: Staff Approval Date: -- By: Council Approval Date: � ';' <br /> Septic: Staff Approval�Date: - — • By: � <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: 3 <br /> Avg. Setback. n/j/'-� Bluff Setback: i'�/1�- Lot Coverage: O��� <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' �•4!7 o z S°j� <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No �C Date of Council Approval: <br /> REMARKS(in house): <br /> 4 <br /> 7 <br />