Laserfiche WebLink
CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS ORLEGAL: lo oS PA21� Lvw� � <br /> PID: <br /> DESCRIPTION OF WORK: p�=��� <br /> ZO�TG REVIEW BY: DATE APPROVED: Z-Z� �o�' <br /> BUII.,DING REV�W BY: DATE APPROVED; Z.�d -cr� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAl�T REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE � Yes No ✓ PARK FEE <br /> SAC Yes No� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. 8<<8S( Acres , Z � Width Depth <br /> Survey Submitted: Yes K No Date of Survey: i -1 Z-��1 <br /> Proposed Setbacks: � <br /> Freat{Lake): �i32� Right Side: S•3 <br /> Rear (Street): �y.S Left Side: 3Y' <br /> Adjacent Structures: q-rr�c.��� Wetland: iv/�a / <br /> �_ <br /> Building Height: Def. Hgt. f� I✓i Peal�Hgt. -- <br /> Lot Coverage: ?.o•s <br /> Grading: Staff Approval Date: N�� By: Council Approval Date: <br /> Septic: Staff Approval Date: N 1✓3 gy; <br /> Zoning File: !� oy-Z�cB�b Resolution: # Resolution Date: �-Z2-oH <br /> Shoreland District: y,PS <br /> Avg. Setback: o.l� Bluff Setback: �J //� Lot Coverage: ?�o.� <br /> Eustin; Proposed <br /> Hazdcover: 0-75' 43�t <br /> 75-250' s�.e <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />