Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: Ann, n can+ f j2KYyw o-2 c.-- <br /> ZONING REVIEW BY: DATE APPROVED: '3-2!;' -OT <br /> BUILDING REVIEW BY: DATE APPROVED; 3.7.-5 <br /> - 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes_Le< 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 c No Date of Survey: 3-)01-03-- <br /> Proposed <br /> -)S-03Proposed Setbacks: <br /> Front(Lake): w ogh 177 <br /> lti t Side: <br /> Rear(Street): 110 Left Side: Z36 <br /> Adjacent Structures: — Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: Al 1A <br /> Grading: Staff Approval Date: At(A By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: /VO <br /> Avg. Setback: Bluff Setback: 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(in house): <br /> 7 <br />