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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: NEW kZ als <br /> ZONING REVIEW BY:_-- <br /> — -- <br /> ------------ DATE APPROVED: s 7 <br /> -I i'-5 <br /> BUILDING REVIEW BYj fDATE APPROVED: ti--t L(-97 <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 WATERCONNECTION <br /> INVESTIGATION-FEE Yes No r/ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: RAA(3 <br /> Fire Department: Qold,(Ake-C- Post Office: Ut uZ School District: omot•.30 <br /> Lot Area: Sq.ft. Acres 2, 1 Width 3io-34 AIJC Depth Z�y• <br /> Survey Submitted: Yes No Date of Survey: S'-2--c47 <br /> Proposed Setbacks: <br /> Front (Lake): . 5-0.5 Right Side: 12 2 <br /> Rear(&freet): I '32, Left Side: 30-S <br /> Adjacent Structures: N 11 Wetland: Z•4. <br /> Building Height: Def. Hgt. 24•S Peak Hgt. 2-0.5 <br /> Lot Coverage: N(A <br /> Grading: Staff Approval Date: S -N-9') By: U• Council Approval Date: <br /> Septic: Staff Approval Date: 2 By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <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 /> 26 <br />