Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y y d S A10A77f Slf0 Ac- <br /> PID:PID: <br /> DESCRIPTION OF WORK: GAdlA G C-- .(WAIL -1- (L�-�Oo i— <br /> ZONING REVIEW BY: DATE APPROVED: 9. 23-6-Y-- <br /> BUILDING <br /> . Z3-aYBUILDING REVIEW BY: DATE APPROVED; 9- 23 . o't <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 WATERCONNECTION <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: AJQ C _ X .Q <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width 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: ` etland: <br /> Building Height: Def. Hgt. Peak Hgt. <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 Setba 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 Cm house): <br /> 7 <br />