Laserfiche WebLink
, CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: _ i 35 4� ��QK �('�v� � <br /> PID: �,p <br /> DESCRIPTION OF WORK: �cz,lc �- �'c�. i ('�,�-E�t/+v�vl.�. � � �,i�.:Z�Y. ,(�i9arh�[�� <br /> --------------------------- <br /> --------------------------- <br /> ZOYIl�tG RE'V]E�� BY: , , DATE APPROVED: G,-L`�-�� <br /> BUII.,DING REVIE�� BY: � � � DATE APPROVED: �, °�Y-4��? <br /> FEES TO BE C�-IARGED: Misc. Fees Calculated By: � <br /> PERMIT Yes ✓` No ' <br /> PLAN REV�W Yes v No SEWER CONNECITON <br /> STATE SUR`HARG�. Yes ,/ No ti�ATER CONNECTTON <br /> �INVESTIGA'I'ION-FEE Yes i/ No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOI�TING CHECK LIST Zoning District: �-�� <br /> Fire Departmenr. (�I,a�.v� Post Office: (,�(,,,.�.�.� School District: _�y;-Z,1,,u;F <br /> Lot Area: Sq.ft._��;,� Acres ,C� tiVidth �(',;�i���-it Depch <br /> Survey Submitted: Yes � No Date of Survey: <br /> Proposed Setbacks: 5(�� ����-��t` ;;r+�e ����1 t-Qz.�.� <br /> F�rvIIt (Lake): .2�y" i d`�.v�Riaht Side: 3 ` � 7j' ' <br /> F�ea�r (Street): ��5 2�y Left Side: ��+ � b <br /> �� S i4Lii{ �i;c a t b@.(�C- <br /> Adjacent Structures: 5 �Vetland: /�J✓� <br /> Building Heighr. Def. Hgt. ryt�`/� Peak Hgt. _ �(,r y,Q <br /> Lot Coverage: i?. .� <br /> Grading: Staff Approval Date: •(,/fP} By: ^ Council Approval Date: � <br /> Septic: Staff Approval Date: ��/I� gy: -- <br /> Zoni.ng File: # Z31�4� Resolution: # Resolution Date: !� -`� y c� � <br /> Shoreland Dis�ict: �,�5 <br /> Avg. Setback: V,;����3 Bluff Setback: NJo� LotCoveraoe: I'7 S <br /> Ezisting Proposed <br /> Hardcover: 0-75' • �7 _ � 7 <br /> 75-250' �Z�' . �2 v <br /> 250-500' • <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes� No Date of Council Approval: 6 �� `�� <br /> � <br /> REI�ZARKS (in house):_ � = C.�=��(�- C.���=�Za'� tiJc i v i_ ����''���i <br /> . � 26 <br />