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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31135 TOGn f2.0)A 6 <br /> PID: <br /> DESCRIPTION OF WORK: IZe(n�+o�El <br /> ZONING REVIEW BY.• _/U/ DATEAPPROVED: <br /> B UILDING REVIEW BY.• DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN RETVIETf/' Yes t/ No SEYTIER CONNECTION <br /> STATE SURCHARGE Yes ✓ No AIrATER CONNECTION <br /> INVESTIGATION FEE Yes No�_ PARK FEE <br /> SAC Yes No INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sgft. 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 Structures: Nretland. <br /> Building Height: Def.Hgt. Pe k 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 /> 7. <br /> Shoreland District: MCYGD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage. <br /> Faisting Proposed <br /> Hardcover: p_-j' <br /> 75-250' <br /> '50-500' <br /> 500-1000' <br /> Hardcover t ariance Required: Yes No Date of Council Approval: <br /> REM-4RKS(in house): <br /> 33 <br />