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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4-4(oZO Tom KA q eW ,�N <br /> PID: <br /> DESCRIPTION OF WORK: Civ c c o sc: y�voc=R DC cx <br /> ZONING REVIEW BY.• �pA DATEAPPROVED: <br /> BUILDING REVIEW BY. w DATEAPPROVED: <br /> FEES TO BE CIIARGED: Misc. Fees Calculated By: <br /> PERMIT I es 1,� No <br /> PLAN REVIEW Yes No -I-- SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECKLIST Zoning District: 4yO G t-E 6Zv6 e. <br /> Fire Department: 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 Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: YT%ell nd: <br /> Building Height: Def.Hgt. Pak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: 1' Council Approval Date: <br /> Septic: Staff Approval Date: By. <br /> Zoning File: # Resolution: # esolution Dater <br /> Shoreland District: M D Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Hardcover: 0-;j Existing Proposed <br /> 7-5-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover r ariance Required: Yes No Date of Council Approval: <br /> REAL4RKS(in house): <br /> 33 <br />