Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: iryy�' Norr�r! J.�o� D�. <br /> PID: <br /> DESCRIPTIOv OF WORK: /1/E�/ i?�S <br /> ZO�TG REVIEW BY: DATE APPROVED: �/o • y -n S <br /> BUILDING REVIEW BY: DATE APPROVED: ,a • �/-o �- . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes v- No WATERCONNEC'ITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �/' SITEINSPECTION <br /> Number of SAC�Units ��,f,,,,br,��,yta.� �,.,� OTHER�ecify) <br /> �_ � _ �_11�.Q —�K�-- ��0___��.�_!_� <br /> ZONIi�tG CHE.CB LIST Zoning District: <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sc.ft. l 2�1 S�p o—° Acres , f � Width Depth <br /> Survey Submitted: Yes_,C No Date of Survey: 7• 12•o': <br /> Proposed Setbacks: � <br /> Front(Lake): /'1 v � � Right Side: /0.S <br /> Rear(Street): 3d� Left Side: i0•3 <br /> Adjacent Struccures: n/ //} Wetland: N�� <br /> Building Height: Def. Hgt. 2 Z Peak Hgt. Z � <br /> Lot Coveraoe: �Z.'3 <br /> Grading: Staff Approval Date: �';���s UN,t�roSa�`'°By:C� Council Approval Date: <br /> Septic: Staff Approval Date: N 1� By: <br /> Zoning File: #Os�'3��-�1 Resolution: # (�b Resolution Date: ��2S"�U� <br /> Shoreland District: vY5 <br /> Avg. Setbackr^a.�G Bluff Setback: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' � <br /> 75-250' 2 Y.3 7 <br /> 250-500' �. 9 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�[_ Date of Council Approval: <br /> REMARKS(in house): <br /> � <br />