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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '- 7 SS 7DN1G4�I i cs`Z.J <br /> PID: <br /> DESCRIPTION OF WORK: �iyT7t,c.� S <br /> -------------------------------------- ------ - --------------------------------------------------;-------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: 4 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�C No <br /> PLAN REVIEW Yes jAgNo r,— SEWER CONNECTION <br /> STATE SURCHARGE Yesy/IVo WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /V o !Q� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres rDate <br /> Depth <br /> Survey Submitted: Yes No Survey: <br /> Proposed Setbacks:Front (Lake): Right Side: na urs <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wed d: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> Septic: Staff Approval Date: B <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />