Laserfiche WebLink
C�-IECK OF'F' LZST FOR TSSUANCE OF PER�I�Z�TS <br /> � FOR OFFICE USE ONLY <br /> � ADDRFSS OR LEGAL: _ Z��d P�}-��S�rvr- � . <br /> PID: <br /> DESCRIPTION OF WOR�i: _�C'_����o-eti. 02.�,o-,� h�ft�Pvn�t - . <br /> ZO�Z�tG REVIEti� BY: N 1/-� ~ - ~� DATE ApPROVED: -~- <br /> BUII.,D .J�i 1G REVIE�'Y BY: � . DAT�APPROVED: // • zv: �'g <br /> �'EES TO BE CHARGED: • �� � Misc. Fees Calculated By: N� � <br /> PERMIT _Yes !/ No ' <br /> PLAN REVIEW Yes v" No SE�YF.�Z CONNECTION <br /> STATE SUR`H�FLG�, Yes � No �AT�CO�INECITON <br /> I7VYESTIGAZZON-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC Units �`01'HER (specify) <br /> ZO�TI3�TG CHECK LIST zoning District: /V b G<�YfYJG �Q � � ~ <br /> Fire Deparflnent: Post Office: _ School District: ' <br /> Lot Area: Sq.fr. Acres �Vidth Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> - � _ _ __--�- <br /> Flont {La.ke): , RiahE��de: -- �- - — <br /> Rear (S[reet): Left Side: <br /> Adjacent Structures: tiV tland: <br /> Building Height: Def. Hgt. P k Hgt. <br /> Lot Coverzge: <br /> Gradin?: Stafi Approval Date: - . By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • � . <br /> Zonino File: � Resolution: � Resolution Date: • <br /> Shoreland Dis�-icc: � <br /> Avg. Setback: Bluff Se back: I,ot Coverage: � . <br /> � ' E�s� Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . - ' <br /> 250-SQO' . • <br /> SQQ-lOQO' <br /> Hardcoi•er Varia.nce Required: Yes No Date of Councii Approval: <br /> � <br /> RE1�Z4R.KS ('in house): � <br /> � - _ . • . <br /> ' �� . 26 . <br />