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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��l'1 S �/a r�2xv�S �Pc� ,,"� <br /> PID: <br /> DESCRIPTION OF WORK: ��,4;-�-� �2,��,b e� <br /> ZONING REVIEW BY.• DATEAPPROVED:�� �Mr_ <br /> BUILDING REVIEW BY.• DATEAPPROVED: S'- 2.-o g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By �__________________�__ <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No_� SEWER CONNECTION <br /> STATE SURCHARGE Yes ��No N'ATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ----�----------��-�--------�- <br /> ZONING CHECK LIST Zoning District: /�� G Hp.1.�c� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Vidth 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: Wetl nd.� <br /> Building Height• Def Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading. Staff Approval Date: .52.�-+P� y: Council Approval Date: <br /> Septic: StaffApproval Date: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: B1uffSetback LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-.i 00' <br /> 500-1000' <br /> Hardcover l�ariance Required: l es No Date of Council App�•oval: <br /> REMARKS(in house): <br /> 33 <br />