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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10Z5 t9c.€) C ¢,,sem ogur 11.43-4.0PID: t <br /> DESCRIPTION OF WORK: SN=ov-e A od /& rx ,sT r 5Dr4 c. <br /> ZONING REVIEW BY: NM ( DATEAPPROVED: <br /> BUILDING REVIEW BY: cryg DATE APPROVED: e - .0 5 <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 t/ PARK FEE <br /> SAC Yes No moi SITE INSPECTION <br /> Number of SAC Units OTHER (spec) • <br /> ZONING CHECK LIST Zoning District: 0 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres kith 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: W=tland <br /> Building Height. Def'Hgt. P •k Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCND Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-'5' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover T.-at-tame Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />