Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: X110 o1ZC/#I41 ,O4-4 44,+70 <br /> PID: <br /> DESCRIPTION OF WORK: 4je Z /2-05 <br /> ZONING REVIEW BY: DATE APPROVED: 6-1 3-o z <br /> BUILDING REVIEW BY: ( _ DATE APPROVED: _ t 3-a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes c- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No __VrPARK FEE <br /> SAC Yes No kSITEINSPECTION <br /> Number of SAC Units —C-2U <br /> C ', t\WOTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> y'6b. <br /> Lot Area: Sq.ft. /8 q, $t Acres 9.3 S Width 2:99.2S1 ° Depth (0 3 2.5 A-Q <br /> Survey Submitted: Yes x No Date of Survey: 6. 4 o Z <br /> Proposed Setbacks: <br /> Front(Lake): 3014.(.2 Right Side: / 0 2..1 L1 <br /> Rear (Street): I-7S.b4 Left Side: /02..00 <br /> Adjacent Structures: N(h Wetland: n//r4 <br /> Building Height: Def. Hgt. 2(.•/S + Peak Hgt. 3 2 <br /> Lot Coverage: /J//}- <br /> Grading: Staff Approval Date: 6-t 3•0 Z By: d• '• Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # -- Resolution: # — Resolution Date: <br /> Shoreland District: /V D <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 />