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.- � .. <br /> - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - ' FOR OFFICE US� ONLY <br /> ADDRESS OR LEGAL: �,3�O ��� <<���� �^� <br /> PID: <br /> DESCRIPTION OF WORK: �Zh���� �— <br /> -------------------------------------------- - -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATEAPPROVED: �- Zv -v� <br /> BUILDING REVIEW BY: DATE APPROVED: � -� .-csu <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 WATERCONNECTION <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�v c�,p <br /> 0 <br /> Fire Depaztment: 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 Sid : <br /> Reaz(Street): Left Side <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br />