Laserfiche WebLink
• <br /> CHEdK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ! 5 ns so o c-c C.-2& s-r `- Q A .( (2-0✓t <br /> PID: <br /> DESCRIP'T'ION OF WORK: O e.c k-S <br /> ZONING REVIEW BY: I cP (Q ,.._. DATE APPROVED: <br /> BUILDING REVIEW B's: t , DATE APPROVED; se, --r =•.-7 - <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: <br /> • <br /> Fire Department: • Post Office: School District: • • <br /> Lot Area: Sq.ft. Acres • Width Depth <br /> Survey Submitted: Yes " No Date of Survey: 9- /3-410 <br /> Proposed Setbacks: <br /> Front(Lake): 2► : ± Right Side: i cis` r <br /> • <br /> Rear(Street): 3*tia Left Side: <br /> Adjacent Structures: ,rv� Wetland: r I" <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: - ' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: it Resolution: # Resolution Date: • <br /> Shoreland District: x0 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500 ' <br /> 500-x000' <br /> Hardcover Variance required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />