Laserfiche WebLink
�. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��� `'�('j � ���l��t'�C'�_r l��' ��- , C'� <br /> PID: �I - I I`�( -.�3 -- -� �- t�C��� <br /> DESCRIPTION OF WORK: /�-l<�����f�t�C�Y� , Pv�� �c ��d— ��:C': 1�,l.�''Ct� <br /> ZONING REVIEW BY: � ��, � , DATEAPPROVED: �2-���-C� �, <br /> BUILDING REVIEW BY: DATE APPROVED: 2- -z� -c,z <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 WAT'ER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZOI�TING CHECK LIST Zoning District: t--R -t C3 <br /> Fire Department: �tC%ll� Post Office: � ��Si(%r School District: ��Cl,l�"� (��L��,`j��Y�� <br /> Lot Area: Sq.ft. ��,�Oc�� Acres � '��� Width ���` Depth 3��C� ` <br /> Survey Submitted: Yes }� No Date of Survey: �,� -(t -[.�� <br /> Proposed Setbacks: <br /> Front (Lake): �L�%� Right Side: `��% � <br /> Rear (Street): �_�� � Left Side: ��� � <br /> Adjacent Structures: !✓(b Wetland: � <br /> Building Height: Def. Hgt. c�•L� Peak Hgt. O•(� <br /> Lot Coverage: 3 �T �t(,� ���. ��p •n��,��' � <br /> Grading: Staff Approval Date: - By: - Council Approval Date: <br /> Septic: Staff Approval Date: - By: <br /> Zoning File: # Ci �-v2�7�'1 Resolution: # Resolution Date: � --�.�-�'<,Z <br /> Shoreland District: �-� � � � <br /> Avg. Setback: _ Bluff Setback: — L.otCoverage: ( � � ��J��l� <br /> Exi�g Proposed <br /> Hardcover: 0-75' �_ <br /> �s-2so� ���-`� C��i: ��c��o > 35"" C:34R i9°l�� <br /> Zso-soo� ���� 1�,.:�����c ) ��� �<<�. a� �,�c) <br /> 500-1000' <br /> Hardcover Variance Required: Yes �� No Date of Council Approval: � `�=.�`� '�%�--- <br /> REMARKS (in house): <br /> 7 <br />