Laserfiche WebLink
CHECK LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS 0 R.c„v o o fkc.. .A0- (2,d <br /> PID: <br /> DESCRIPTION OF WORK: I Q ET ( A RA GC' <br /> ZONING REVIEW BY: 41111, CQ DATE APPROVED: i 0 -i y-a z <br /> BUILDING REVIEW BY:• ♦, C DATE APPROVED: 16 -Of k-a Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Ye. g/' No <br /> PLAN REVIEW Ye. t/- No SEWER CONNECTION <br /> STATE SURCHARGE Ye. v" No WA!ERCONNECTION <br /> INVESTIGATION FEE Ye No PARK FEE <br /> SAC Ye• No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zo. ug District: <br /> Fire Department: Plist Office: School District: <br /> Lot Area: Sq.ft. Acre Width Depth <br /> Survey Submitted: Yes ,( No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Viol t. Right Side: 200 l <br /> Rear(Street): Left Side: 30' <br /> Adjacent Structures: 1-/5‘ Wetland: <br /> Building Height: Def. Hgt. 0.14. Peak Hgt. <br /> Lot Coverage: /J 4 <br /> Grading: Staff Approval Date: — Ij By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resok.tion: # Resolution Date: <br /> Shoreland District: /lJO <br /> Avg. Setback: I Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: lies No Date of Council Approval: <br /> REMARKS(in house): 12c 'r1®AIS s/6/4' 6 <br /> 7 <br />