Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 60 Gi✓I p Orrkird yb / <br /> PID: <br /> DESCRIPTION OF WORK: Z k 2 8 d e/ncl e c( corrl e. fv rrp lam_ a x,sh nce ctei <br /> ZONING REVIEW BY: DATE APPROVED: /1/2720,o7 <br /> BUILDING REVIEW BY: ...,=11 <br /> o(11 DATE APPROVED: I(. -c ) <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L7'. No <br /> PLAN REVIEW Yes t// No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No ;� SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: C n— I /r <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. .65, 8(22`(Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: /9 q q <br /> Proposed Setbacks: tel" Sou <br /> AF <br /> Front S : 90 Right Side: lc) <br /> On /30 <br /> Rear(Street): I 75 `deft Side: At - <br /> Adjacent <br /> 1 <br /> Adjacent Structures: 3S Wetland: /J/4 <br /> i�. W SQ. I S 2 s <br /> Building Height: Def.Hgt. 19 <br /> •S Peak Hgt. H <br /> Lot Coverage: 0 tt <br /> Grading: Staff Approval Date: By: t ) Council Approval Date: <br /> Septic: Staff Approval Date: , By: 1� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: YJ G} MCWD Permit: <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 /> hrus rough AaOW01 rie h�htc. to M ce G`r- <br /> REMARKS inhouse : � �� !�e44 e Ce4,4S <br /> 33 <br />