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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-7-1 O 1060 1� - - <br /> DESCRIPTION OF WORK: �- <br /> ----------------------------------- ------ -------------------------- <br /> ZONING RE VIE TV BY. DATEAPPROVED: <br /> B UILDING RE VIE W B Y: DA TE APPR O VED: <br /> ------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes t/ tvo SEWER CONiVECTION <br /> STATE SURCHARGE Yes C,-' 1Vo TVA TER CONVECTION <br /> IIVVESTIGA TION FEE Yes No PARK FEE <br /> SAC Yes tVo SITE NSPECTIOtY <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: AAP G/ 9 <br /> Fire Department: Post Office: School District: __.. <br /> Lot Area: Sq Jt. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Str•uctur•es: Wetla d: <br /> Building Height: Def. Hgt. Peak Ygt. <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 Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />