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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OH'ICE USE ONLY . . <br /> ADDRESS OR LEGAL: 2 O C S WE-&O E CZ N�LL5 20 4-6 <br /> PID: <br /> DES CRIPTION OF WORK: R w-o to e<-- <br /> ZONING REVIEW BY: /V//- DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: Li- 5 -al• <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No .. <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ri No WATER CONNECTION <br /> INVESTIGATION FEE. Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: NO C.14 AN G <br /> Fire Department: Post Office: School District: <br /> • <br /> Lot Area: Sq.ft. Acres • W .th Depth <br /> Survey Submitted: Yes No tate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: ' <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: • • <br /> Building Height: Def. Hgt. Peak Hgt <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolu:ion: # 'esolution Date: • <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2.50-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />