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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE ZISE ON,,�yY <br /> ADDRESS OR LEGAL: � `-� < <--� �I I-�� `I �� ���-�' <br /> PID: <br /> DESCRIPTION OF WORK: ,z �t�� <br /> --------�_�------------___��___________�N____________________�_______________ �____ <br /> ZONING REVIEW BY: e�'I" Q� ���/� �!p _2�-U7 <br /> BUILDING REVIEW BY.• DATEAPPROiIED: 4-��-o> <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � � ~� �~~ <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTIDN <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: -----____�_____________ <br /> Fire Deparlment: Post O�ce: School District: <br /> Lot Area: Sg.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: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Counci!Approval Date: <br /> Septic: Staff Approval Date: By. ���J l <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD 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 Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />