Laserfiche WebLink
�� . : • <br /> . , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I ��`i �f�RK t�P. <br /> PID: <br /> DESCRIPTION OF WORK: q p o , ,—, on�s <br /> ------------------------------------------------------------- <br /> ZO��TG REVIEW BY: � DATE APPROVED: � • 27-os' <br /> BUILDING REVIEW BY: DATE APPROVED: S • Z7 -�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes _� No SERTER CONNECI'ION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No ✓ � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�TG CHECK LIST Zoning District: (.2- �f3 <br /> Fire Department: Post Office: School District: <br /> LotArea: Sc.ft. S�.B45 Acres i•3 Width �y�5 Depth <br /> Survey Submitted: Yes �c No Date of Survey: b- 2'Z-0 5 <br /> Proposed Setbacks: AeA•n�•► su�.M.4.Rc�l. � <br /> Front(Lake): i�l �� 1`3�l Right Side: � � 9Z � <br /> 2�►�9 S'ra� 14` i.. S i� <br /> Rear(Street): ►Zf�� � 3`��' Left Side: 6Y� * y Y� <br /> Adjacent Structures: prr�nc�+�� Wetland: N�A <br /> Building Height: Def. Hgt. v. k- Peal:Hgt. — <br /> Lot Covera;e: (o.S°�� <br /> Grading: Staff Approval Date: N� CH+4r�i,! By: — Council Approval Date: <br /> Septic: Staff Approval Date: N/A BY� <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: V�P S <br /> Av�. Setback� 0.k Bluff Setback: N I/� LotCoverage: (,.S <br /> Existing Proposed <br /> Hardcover: 0-75' � N/G <br /> 75-250' 2-�.'Z z3•7 <br /> 2�0-500' N� Ci� <br /> 500-1000' <br /> Hardcover Vuiance Required: Yes No ac Date of Council Approval: <br /> REMARKS (in house): <br /> � <br />