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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9�o PA 2�nr w o o� F2:u A.p - <br /> PID: <br /> DESCRIPTION OF WORK: (Lc-w�.,�t-Z � <br /> ---------------- ----------------------------------- ----------------3--`-------- <br /> ZONING REV�W BY: C� _ DATEAPPROVED• �1• o oz <br /> BUILDING REVIEW BY: , DATE APPROVED:. y- 3a • o z: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes (i No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: p� l=�c.c.s <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> P�� Grading: Staff Approval Date: By: Council Approval Date: <br /> L Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: �{ Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />