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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS 3- o c-4 3 e�+,f <br /> PID: -- --- -- - <br /> DESCRIPTION OF WORK: ✓��. <br /> ZONI\TG REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERWI r Yesy No <br /> PLAN REVIEW Yes_� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� 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 CHECK LIST Zoning District: ArO C�nw <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sqft. Acres tate <br /> Depth <br /> Survey Submitted: Yes No f Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: NVetland: <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: # Resolution: # IR esoluelon Date: <br /> Shoreland District: <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 /> 7 <br />