Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 37� S (3�qy s i�0� /�� <br /> PID: <br /> DESCRIPTION OF WORK: -w /�3 c>,� �x�s>-i -J <br /> ZO.�i 1G REVIE`V BY: DATE APPROVED: �-�6 �e`� <br /> BUILD�IG REVIE`V BY: DATE APPROVED; _�- �,a -o Y <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERiti1IT Yes �/' No <br /> PLAi�i REVIEW Yes Y No SEWE.R CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No (� PARK FEE <br /> SAC Yes No -� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�IG CHE.CK LIST Zoni.ng District: G�'�✓� <br /> Fire Department: Post OfFice: School District: <br /> L.ot Area: Sq.ft. y I,LZ.� Acres �5Y Width Dep[h <br /> Survey Submitted: Yes ( No Date of Survey: Y� Zz-a`r <br /> Proposed Setbacks: <br /> F�aut(Lake): 60•S Right Side: Zgp� � <br /> Pear (Street): (� �`� Left Side: 3� b <br /> Adjacent Structures: �!1/�- �Vetland: — <br /> Building Hei;ht: Def. Hgt. 23 Peak Hgt. zg <br /> Lot Covera;e: c� -l� <br /> Grading: Staff Approval Date: No c i„�,•,�D By: — Council Approval Date: <br /> Sep[ic: Staff Approval Date: N �Q- By: <br /> Zoning File: # �/-�o�� Resolution: # Resolution Date: �'��' °Y <br /> Shoreland District: v�05 <br /> Avg. Setback: o•� Bluff Setback: 11/ �A I.ot Coverage: C�-� <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' 3•S 3•5 <br /> 75-250' Z 5`jb <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �. No Date of Council Approval: �' �� � 6M <br /> REMARKS (in house): <br /> 7 <br />