Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • ' FOR OFFICE USE ONLY <br /> - ADDRESS OR LEGAL: 571 Po4(�� �.�,e C�a�b,u o <br /> PID: <br /> DESCRIP'TION OF WORK: /4�/�A c.-n��v.� <br /> ZONING REVIEW BY: DATE APPROVED: /p -/� -uo <br /> BUILDING REVIEW BY: -- DATE APPROVED: � v�l7 -ao <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 WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECT'ION <br /> Number of SAC Units OTHER (specify) <br /> ZO1vIi�1G CHECK LIST zoning District: L2 -I P <br /> Fire Department: Nn,o v w✓� Post Office: �vt.o �a.r/� School District: �,�.c5ro w.►�4 <br /> Lot Area: Sq.ft. `j,SUv Acres . Z'L_ Width Y�j•3! DePth 1 66 . <br /> Survey Submitted: Yes � No Date of Survey: ��• 13�j 7 <br /> Proposed Setbacks: <br /> Front(Lake): `ly' Right Side: 13.5 <br /> Rear(Street): S`'� � Left Side: L� <br /> Adjacent Structures: 1�6' Wetland: O <br /> Building Height: Def. Hgt. p �(G. Peak Hgt. <br /> Lot Coverage: �5 v <br /> Grading: Staff Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 2`1�t Resolution: #� Resolution Date: <br /> L/53�0 <br /> Shoreland District: � �{e 3 <br /> —T <br /> Avg. Setback: v/�,R.��-�Ct Bluff Setback: — LotCoverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �S1� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes_�c No Date of Council Approval: I o •�t-c9a <br /> REMARKS(in house): <br /> 7 <br />