Laserfiche WebLink
' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESSORLEGAL: 3y4 � /Uo2� s�-ro�(t� ��2 <br /> PID: <br /> DES CRIPTION OF WORK: z ru� �,^o 1�,, /M�J� n�N <br /> ------ ---------- ----:---------------------------------- � - �- <br /> ZONING REVIEW BY• DATE APPROVED: p 9 � <br /> BUILD�IG REVIEW BY: DATE APPROVED; I E�- � - 4 g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes r/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONPiG CIi�CK LIST Zoning Districc: L2-f G <br /> Fire Department: c�i: Post O�ce: (,�R�Z�-� School District: n2oN 0 <br /> Lot Area: Sq.ft. I 2, �3 2 Acres . 2 g Width �` Depth Z S Z' += <br /> Survey Submitted: Yes �c No Date of Survey: D� l=/ � /Z �//-g S <br /> Proposed Setbacks: � <br /> Front(Lake): i 7 S } Right Side: Z•`{ <br /> Rear(Streei): 1� � Lefr Side: 1 �•1 <br /> Adjacent Structures: �{�� Wetland: N I� <br /> Buildin�Height: Def. Hgt. p.l�- Peak Hgt. +� •►� <br /> Lot Coverage: tl •�L � <br /> Grading: Staff Approval Date: N (A By: — Council Approval Date: — <br /> Septic: S[aff Approval Date: N ( �{- By: � <br /> Zoning File: # 2 S�� Resolution: # l-�3;�j�, Resolution Date: �'23-°�'g <br /> Shoreland District: �•PS <br /> Avg. Setback: t��lc Bluff Setback: N //� L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' o J <br /> 75-250' 33.Z`-I 3 3•2`� <br /> 250-500' 9 Z.3 1 °t 2 -3 � <br /> 500-1000' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: �-Z3 �9 g <br /> REMARKS (in house): <br /> 7 <br />