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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: 9-;5 -3,-; ec)c... <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: 0 . 4-AA <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SUR`HARGE Yes li No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No f PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RA-16 <br /> Fire Department: " Post Office: School District: OIZOIVO <br /> Lot Area: Sq.ft. 0J0 C/-N' Acres Width Depth <br /> Survey Submitted: Yes_ L No Date of Survey: O^S r-cLA3 <br /> Proposed Setbacks: <br /> Front (Lake): t Right Side: 27-0 <br /> Rear(Street): 190 ± Left Side: 3(2. �= <br /> Adjacent Structures: Wetland: AU 1A <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: # Resolution: # Resolution Date: <br /> Shoreland DisL-ict: <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 /> REiVIARKS (in house): <br /> 26 <br />