Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR �-tE �vrft Stere -0' (fie <br /> ADDRESS OR LEGAL: �-t J <br /> PID: s <br /> DESCRIPTION OF WORK: l:w . <br /> ---- ------ -- ^l V�'1 S DATE APPROVED: <br /> ZON Ii1G REVIEW BY: /I."' �(/U <br /> $UTI.�DING REVIEW BY: <br /> DATE APPROVED: Z - ZZ 0'7 <br /> FEES TO BE CFIARGED: --r Misc. Fees Calculated By: <br /> pERiM.IT Yes No <br /> . Yes No SEWER CONNECTION <br /> PLAN REVIEW <br /> STATE SURCHARGE �'eS v, No NATER CONNECTION <br /> / PARK FEE <br /> INVESTIGATION FEE Yes No _�G <br /> SAC Yes No ,/ STTEINSPECTION <br /> P�,n �?Y89 OTHER (specify) <br /> Number of SAC-Units _____________________ <br /> ----------------------------- <br /> ----------------- <br /> ZOyUNG CHECK LIST Zoning District: <br /> Post Office: School District: <br /> Fire Department: , <br /> Lot Area: Sq.ft. Acres Q % ' v Width Depth <br /> zJ <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> Proposed Setbacks': / (� yV eO <br /> Froat(Lake): Right Side: ��S� G`Y <br /> Rear(Street): w Left Side: II //aa .6 r <br /> Adjacent Structures: <br /> Wetland: � l.�Y <br /> Building Height: Def, Hat, 0 Peak Hgt. <br /> � � �l a <br /> Lot Coverage: � r <br /> By <br /> uncil Approval Date: <br /> Grading <br /> : Staff Approval Date: -- ' <br /> Septic: Staff Approval Date: ' v By: <br /> Zoning File: � . � Resolution: <br /> Resolution Date: I <br /> Shoreland District: N,--Avg. Setbac'�:: Bluff Setback: LotCoverzge: <br /> Fisting Prop sed <br /> Hardcover: 0-15, 6 <br /> 75-250' —_ <br /> 250-500' — <br /> SCO-1000' <br /> r r .c Requ:-red: ies \ Ucie v: �b �� Avpi�`%=': f <br /> N?rd..c�;e. zip- <br /> REAL-'ERRS (inholase): <br />