Laserfiche WebLink
� CHECb OFF LIST FOR ISSUAI�TCE OF PER1ti1ITS <br /> _ � FOR OFFICE USE ONLY . ' . <br /> ADDRESS ORLEGAL: � 3U O I`J o 2T'!-4 st-to�'z� �R • <br /> PID: <br /> DES CR�'I'ION OF'�ORK: c..�•.,�c,o s�.� �-N-r�rt,�, vN��. �.�c s r��� /W�r= <br /> . <br /> ZO�SLIG REYIEti'Y BY: D�TE APPROV�D: 3 -I Z-o� <br /> BUILDIri TG REYIE�BY: , DATE APPROYED: 3 -t i-o t <br /> FEES TO BE CHAItGED: biisc. Fees Calculated By: <br /> pERMIT Yes_� No �• <br /> pI,AN REVIEW Yes r/' No SE�FR CONNECTiON <br /> STATE SURCHARGE Yes� No WATERCONNECTION . <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC-Units OTHER(specify) _ <br /> ZOtiZ�i G CH�CS LIST Zoning Districc: /UC� G���� _ . <br /> Fire Department: Post OfFlce: School D'utrict: • ' • <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Surve;Suba:itted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(I.a.ke): Right Side: ' <br /> Rear(Street): I.efr Side: <br /> Adjacent Structures: �Vetlaad: • <br /> Buildia;Heiaht: Def. H�t. Peal:Hot. <br /> Lot Coverage: <br /> Grading: ScafF Approval Date: By: Couacil Approval Date: _ <br /> Sepdc: Staff Approval Dace: By: <br /> Zoaing File: # Resolution: � Resolutioa Date: . <br /> Shoreland District: <br /> Av?. Setback: Blufc Setback: LotCocera�e: <br /> E��, Proposed <br /> a <br /> Hardcover: 0 75' ------- . <br /> 75-250' <br /> 2�0.500' <br /> 500-1OQ0' <br /> Hazdcover Variance Required: Yes No Date of Couacil Approval: <br /> �o�n/✓>A—� � �0 0 rf <br /> REsI�LA�iS (inhouse): DIv � rs s�6 a� un�-� �xrs <br /> 7 <br />