Laserfiche WebLink
r • �F - <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�35 /(/02�-7 f s'i°to� �� <br /> PID: <br /> DESCRIPTION OF WORK: �e� <br /> ZOY�IG REV�`V BY: �✓/�4 DAT'E APPROVED: <br /> BUII�DPIG REVIE�V BY: DATE APPROVED:�� -S—G�f <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> PLAI�i REVIEW Yes �° �/ SEWF�COivNEC'ITON <br /> STATE SURCHARGE Yes �/ No WATERCONNEC'I'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CHE.CK LIST Zoning District: /f�� G_�fl �. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes N Date of Survey: <br /> Proposed Setbacks: " <br /> Front(Lake): Right Si <br /> Rear (Street): I.eft Side: <br /> Adjaceat Structures: Netl d: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY: <br /> Zoning File: # Resolution: Resolutioa Date: _ � <br /> Shoreland District: <br /> Avg. Setback: Bluf Setback: L.oc Coverage: <br /> Ezist ; Proposed <br /> Hazdcover: 0-75 . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />