Laserfiche WebLink
, : ' ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZL�p P���-r�sr4rvr �,4.r� - <br /> PID: <br /> DESCRIPTION OF WORK: ���u,o��z <br /> ZONING REVIEW BY: DATE APPROVED: /- /y- d2 <br /> BUILDING REVIEW BY: DATE APPROVED: / • i y-0 2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: N� C N�r�l�.Q <br /> Fire Departtnent: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: � Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : L.ot Coverage: <br /> Existing Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): (��-�r /I.n av►� /Lt90 r S'i�c,rv�t.: `�° � <br /> -�`�ch c,.e�� �5 �s n1 o r� c�-v►s.� Q c= .v�c.�� <br /> 7 <br />