Laserfiche WebLink
• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1100 NOIZT14 SPE (Lk, op, <br /> PID: <br /> DESCRIPTION OF WORK: poRG A o,a, -nb"J <br /> ZONING REVIEW BY: DATE APPROVED: A1- o r <br /> BUILDING REVIEW BY: DATE APPROVED: y- o a r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti-ING CHECK LIST Zoning District: 4A- /Q <br /> Fire Department: rApoNeD Post Office: ® YyW�n1v') School District: W 2srayl�—E <br /> Lot Area: Sq.ft. No G itn!!�yc Acres Width Depth <br /> Survey Submitted: Yes oma- No Date of Survey: <br /> Proposed Setbacks: <br /> Front (ire): (110,11 � Right Side: S('� <br /> Rear (Streetj: 270 ' ± Left Side: (lob t 4- <br /> Adjacent <br /> Adjacent Structures: Wetland: 4V "/1 <br /> Building Height: Def. Hgt. D•(e- Peak Hgt. <br /> Lot Coverage: O./L <br /> Grading: Staff Approval Date: it/ 1A By: Council Approval Date: ' <br /> Septic: Staff Approval Date: By: — <br /> Zoning File: # -- Resolution: # Resolution Date:. <br /> Shoreland District: /V'a <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> 0 <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 />