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CHECK OFF LIST FOR ISSUANCE OF PERl�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: JOSS 7-PArv,ARAcL O(L <br /> PID: <br /> DESCRIPTION OF WORK: Oe-c-. (OAP-"06 <br /> ZONE'G REVIEW BY: DATE APPROVED: I0'00 <br /> BUILDING REVIEW BY: DATE APPROVED: <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 SI'TEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZON iG CHECK LIST Zoning District: (ZIL- I <br /> Fire Department: S_QAC*.' Post Office: Coeir, School District: p,e.o^jC) <br /> Lot Area: Sq.ft. No G Acres — Width _ Depth <br /> Survey Submitted: Yes ex- No Date of Survey: o^r t� 1 i •2 5-�� <br /> Proposed Setbacks: <br /> Front(Lake): I S'Z .S + Right Side: <br /> Rear (Street): -2--)(*1 + Left Side: 2-5V <br /> Adjacent Structures: 1 o Wetland: o ` <br /> Building Height: Def. Hgt. (9 . (�- Peak Hgt. <br /> Lot Coverage: 1� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: I# Resolution: # '— Resolution Date: <br /> Shoreland District: N o <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />