Laserfiche WebLink
• - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: * c LAO VUt7(' i s k-Eo 0{( <br /> PID: <br /> DESCRIPTION OF WORK: L d i <br /> ZON NG REVIEW BY: Al X64- DATE APPROVED: <br /> BLTLDING REVIEW BY: C (,t,.,.,_ _ DATE APPROVED; <br /> --------- <br /> FEES <br /> -- -FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes — No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes �- No WAihRCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No Sll-hINSPECITON <br /> Number of SAC-Units OTHER (specify) <br /> ZONLNG CI-11-,CK LIST Zoning District: N e G 1�9r tic <br /> Fire Department: Post Office: School District: - <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peak ':t. <br /> • <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS ('in house): ( c � <br /> v/ C s�-��-��, / 31 L( Pesti t. o <br /> A-", .lo. 5 . ( <br /> 7 <br />