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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR L . 3(�S C2,G—s� (�o c.,�—r �.e A� <br /> PID: = <br /> DESCRIPTION OF WORK: Q� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DAT'E APPROVED: g3 •�b ���3 <br /> BUILDING REVIEW BY: DATE APPROVED: g -/o -5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes �� No WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LQ-IL� <br /> Fire Department: ✓1�t.o v�vt/) Post Office: v�.t�✓,•r� School District: ca..t�Tvr(k�- <br /> Lot Area: Sq.ft. 2 1 , 31 Yj Acres • `�� Width / ZS Depth Z�g'•S f1crC <br /> Survey Submitted: Yes p� No Date of Survey: �- l'l - 4� <br /> Proposed Setbacks: � <br /> Front (Lake): �(9-? Right Side: �4 y <br /> Rear(Street): I`t 0� � Left Side: � 3•`( <br /> Adjacent Structures: 25 � Wetland: /l///� <br /> Building Height: Def. Hgt. Q ,� Peak Hgt. U�l�. <br /> Lot Coverage: 7.a�p <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: � - <br /> Zoning File: # �,�i'� Resolution: #_�� Resolution Date: 7. 27- Q`� <br /> Shoreland District: .��p 5 <br /> Avg. Setback: N�� Bluff Setback: n! //1 L.ot Coverage: ��a <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> Zso-soo� ►b o �� 7� <br /> soo-i000� <br /> Hardcover Variance Required: Yes No D� Date of Council Approval: " <br /> REMARKS (in house): <br /> 7 <br />