Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> D FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2s4oyLo (3Lyv-i-t CLoAV3 <br /> PID: <br /> DESCRIPTION OF WORK: Lo wc:i2 CL�cZ i2�rw.vEz <br /> ---------------------------------- <br /> ZONI G REVIEW BY: Al DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; /- &-o y <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: N v c <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. eak 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 Setb ck: 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): 16m �-0 — NV c4e r- <br /> 7 <br /> 7 <br />