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� <br /> -1 CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> _ FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ I k�Z Q/{�y�� ,O� <br /> PID: <br /> DESCRIP'rION OF WORK: _ �,L,�.o,yc L <br /> ZONING REVIEW BY: /V�/✓�- DATE APPROVED: <br /> BUII..DING REVIEW BY: ' �„�,,.�_ DATE APPROVED: �� i 9r -n� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _L/ No <br /> PLAN REVIEW Yes No 1L SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: O <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front�(Lake): Right Side: <br /> Rear(Sueet): I.eft Side: <br /> Adjacent Structures: tland: <br /> Building Height: Def. Hgt. P ak 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: <br /> Avg. Setback: Bluff Setb k: Lot Coverage: <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />