Laserfiche WebLink
. , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 3`3�t 5 NoR-n-�+ �ci�l�, (J2_ . <br /> PID• <br /> DESCRIPTION OF WORK: /�/�c,�t ���c.�c � /�...P i�c �ra-�6� <br /> ZO�TG REVIEW BY: DATE APPROVID: S'•31• o0 <br /> BUII.DING REVIEW BY: DATE APPROVED; �• 3�-nJ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes � No SE�VER CONNEG"ITON <br /> ' STATE SURCHARGE Yes� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOr�Il�1G CH�CK LIST Zoning District: C.Q-i L <br /> Fire Department: M�un,,� Post Office: V►tio�MQ School District: W i:S7vN Ic.� <br /> Lot Area: Sq.ft. f�, c�9 2 Acres . �3 Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: `1-�► -9 g <br /> Proposed Setbacks: � <br /> Front(Lake): �O �`' �'°"' Right Side: �'O� <br /> Reaz(Street): 2`1 � Left Side: 6 � <br /> Adjacent Structures: ��v�R�Arr,,z�Wetland: N!�4 . <br /> Building Height: Def. Hgt. �•� Peak Hgt. � <br /> Lot Coverage: Zo`'7o Q,,r �� -{�,,, �Y a� sy �T �t Zsr� o -- <br /> Grading: Staff Approval Date: N/�4 By: Council Approval Date: — <br /> Septic: Staff Approval Date: N/r4 By: — <br /> Zoning File: # 2�1�I(o Resolution: # `t 31 Resolution Date: <br /> Shoreland District: `,tio s <br /> Avg. Setback �J/i4 BluffSetback: N�� LotCoverage: y� w4ov� <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 2.3•'� 33•3� <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />