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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /3 5� f�s� Po�n�T/10.4,� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: y• 3 0- o�qr <br /> BUILDING REVIEW BY: DATE APPROVED: 'i -3 a - n�i <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 �/' PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: G2-�B <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �o��on Acres .Z`( Width Depth <br /> Survey Submitted: Yes C No Date of Survey: �{-1"3-d 3 <br /> Proposed Setbacks: <br /> F+rer�t (Lake): � �g�'� Right Side: i S' <br /> Reer(Street): � �9 � = Left Side: 43� <br /> Adjacent Structures: i4rT�'��+-c'� Wetland: N �/� <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: # py-��2 Resolution: # Resolution Date: �l�i Z �o�( <br /> Shoreland District: y�S <br /> Avg. Setback: ,�o nr �,wuo,o�J.4.c.�` Bluff Setback: �. /,a- L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' a D <br /> 75-250' �/2•y . <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes sc No Date of Council Approva(: �l•/Z-a y <br /> REMARKS (in house): <br />