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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4-154S- W + _re-"1-0w N lit)__ <br /> PID: <br /> DESCRIPTION OF WORK: (ZZwt.A3 0 EL_ <br /> ZONING REVIEW BY: ikit, Cn DATE APPROVED: <br /> ,K13 <br /> BUILDING REVIEW BY:: , Yum-- DATE APPROVED: 3-oit <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V. <br /> No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes sV No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: /l!(7 G ff/4nt,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: Wetla d: <br /> • <br /> Building Height. Def Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Z-3-O5 By: ' (7 <br /> Zoning File: # Resolution: # •esolution Date: <br /> Shoreland District: 111CND Permit: <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 I ariance Required: 3 es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />