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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 SS- ?'ON K Aw A 9-0 <br /> PID: <br /> DESCRIPTION OF WORK: 3AT t4 <br /> ZONING REVIEW BY: /V I i4 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: z-ZA-el <br /> —a c, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes 4,-- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------ <br /> ZONING CHECK LIST Zoning District: Shoreland trict: <br /> Fire Department: Post Office: School Distric <br /> Lot Area: Sq.ft. Acres Wi D pth <br /> Survey Submitted: Y s No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri Side: <br /> Rear (Street) Le Side: <br /> Adjacent ructures: W tland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Avg. Setback: Bluff S tback: Lot Coverage: <br /> Exist g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hard over variance Require Y s No Date of Council Approval: <br /> Gr ding: Staff Approval Da e: By: Council Approval Date: <br /> ptic: Staff Approval Date By: <br /> Zoning File: # Resolu on: # Resolution Date: <br /> REMARKS (in house): <br />