Laserfiche WebLink
. CHECK OFF LIST FOR ISSUANCE OF PERi1�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: _ 35�i(� /�t(�2T1-4 sN-BR.�. �i� � <br /> PID• �� � // �7 - �z 3 � 3 o c, � <br /> DESCRIPTION OF WORK: �� � �� <br /> ------------------------------------------------- <br /> ZON1:�1G REV]Eti� BY: DATE APPROVED: ?�Y-�rd <br /> BUII.,DING REVIE�� BY: ._ DATEAPPROVED: �-(�{-� <br /> . _--------------------------- -- <br /> FEES TO BE CHARGED: Misc. �'ees Calculated By: <br /> PERMIT Yes _� No ' <br /> PLAN REV�W Yes _� No SEWER CONIVECTION <br /> STATE SUR`H1�RG� Yes � No WATER CO'VNEC"TION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------- ----- <br /> Z0�1ING CHECK LIST Zoning District: (r,/Z./� <br /> Fire Department: ��ls Post O�ce: _�q,�,.t,q.�,q. School District: p/l,a�U`p <br /> Lot Area: Sq.ft. 11 C Acres — Width '�- Depth �"' <br /> Survey Submitted: Yes_� No Date of Survey: ?_Q� .cr�'J <br /> Proposed Setbacks: , <br /> �'�aa�(Lake): . ��-(b Right Side: t0� <br /> Rear (Street): 1 Z�J . Left Side: � � � <br /> Adjacent Structures: ZS` �Vetland: yS� ! <br /> Building Heioht: Def. Hgt. [>.jC. Peak Hgt. — <br /> Lot Coverage: p.K. No ��Q <br /> �-I <br /> Grading: Staff Approval Date: nI I/; By: � Council Approval Date: ' <br /> Septic: Staff Approval Date: /f �/1 gy; " <br /> Zonino File: #� — Resolution: #t � Resolution Date: � <br /> Shoreland Dis�ict: y�,S _ <br /> Avg. Setback: /�c 1�} Bluff Setback: N I�} Lot Covenge: N.�-. • <br /> � � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' . <br /> 250-500' . NO G+�An�� <br /> 500-1d00' <br /> Hardcover Vaziance Required: Yes No_?� Date of Council Approval: <br /> Y <br /> RE�ZARKS (in house): <br /> r � <br /> • � ,26 . <br />