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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1139 N dRT\ s f*oAAe dZ <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: NO DATE APPROVED: <br /> BUILDING REVIEW BYDATE APPROVED: <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No 4-- PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Shoreland District: <br /> Fire Department: Post Office: School Distri : <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Y No to of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right ide: <br /> Rear (Street): Left de: <br /> Adjacent S ctures: Wed <br /> Building Height: D f. Hgt. Peak gt. <br /> Avg. Setback: Bluff Setb k: t Coverage: <br /> Existing Proposed <br /> Hardcover: 0 75' <br /> 7 -250' <br /> 50-500' <br /> 00-1000' <br /> Hardcover Vari ce Required: Yes No D e of Council Approval: <br /> Grading: Staff pproval Date: By: Council Approval Dat <br /> Septic: Staff A proval Date: B <br /> Zoning File: # Resolution: # Resolution Date: <br /> REMARKS (in house): <br />