Laserfiche WebLink
• <br /> • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ISS S p tow o n A .S • <br /> PID: — --- -- - <br /> DESCRIPTION OF W)RK: fL e t-v.o o e c= /#9 hb IT) <br /> o n� <br /> ZONLNG REVIEW)3*: c-J NN DATE APPROVED: -1-1 b-0'3 <br /> BUILDING REVIEW BY: ( DATE APPROVED; -1- Ie- o3 <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 WA'1•ERCONNECTION , <br /> INVESTIGATION FEE, • Yes No 1/ PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number of SAC•UnitS OTHER (specify) <br /> ZONING CHECK LIST Zoning District: • <br /> Fire Department: V Post Office: School District: • •V <br /> Lot Area: Sq.ft. Acres • Width Depth <br /> Survey Submitted: YeS „c No Date of Survey:4-(7 03 <br /> Proposed Setbacks: <br /> Front(Lake): Z�3 Right Side: i 3 0 = V <br /> • <br /> Rear(Street): I o fie` * Left Side: 2 4.3 t <br /> Adjacent Structures: N for Wetland: •/00f -t. <br /> • <br /> Building Height: Def. Hgt. 2.') ' Peak Hgt. Z" <br /> Lot Coverage: N 101 <br /> Grading: Staff Approval Date: v-J(v By: Council Approval Date: <br /> Septic: Staff Approval Date: t/► By: <br /> Zoning File: f# -- Resolution: f# -- Resolution Date: . <br /> Shoreland District: /Qt.) <br /> Avg. Setback: I Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 5001000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />