Laserfiche WebLink
/` <br /> ;;,j� <br /> s:,t <br /> � ' CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: yO�Y NDR�SH�f� d`t - <br /> PID: <br /> DESCRIPTION OF WORK: GA tzA�� r4D&>>'T't o N <br /> ZONING REVIEW BY: DATE APPROVED: lc -�j-a 2. <br /> BUILDING REVIEW BY: DATE APPROVED: � o •5-o Z, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _�' No <br /> PL�N REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: pN t��.`. <br /> Proposed Setbacks: <br /> Front(Lake): gg' � Right Side: 6Z.` '� <br /> " Rear(Street): 13' � Left Side: � �' � <br /> Adjacent Structures: ZZ� Wetland: N/A <br /> Building Height: Def. Hgt. p.� Peak Hgt. 0.)�. <br /> Lot Coverage: S.� <br /> Grading: Staff Approval Date: --' By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: s <br /> Avg. Setback. �,� /� Bluff Setback: N//F- Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-5�' o•�� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />