Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: l 120 N dR-" s"05 %O(Z., <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: eo•Z q-07 <br /> BUILDING REVIEW BY: DATE APPROVED: <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 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: 2 R.-►� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres . 41 Width 100 Depth 3°►1 b ,tee <br /> Survey Submitted: Yes No Date of Survey: 014- LA- <br /> Proposed Setbacks: <br /> Front(Lake): �,t' fi Right Side: --3d' 4- <br /> Rear <br /> Rear(Street): Z.01 2 A-- Left Side: !o <br /> Adjacent Structures: Wetland: ^!(/X <br /> Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: 0 A <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 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 />