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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 7570 Z-H0,e0060q!3t0--01 ED: -7 - a �' <br /> DESCRIPTIO-N OF WORK: New <br /> ZO\�G REVIEW BY: �--_ DATE APPROVED: <br /> BUILDL\G REVIEW BY: DATE APPROVED: _ <br /> FEES TO BE CMA-RGED: Mise. Fees Calculated By: <br /> PERMIT Yes N0 <br /> PLAN REVIEW Yes No SEWER CONTINTECTION <br /> STATE SLTRCH ARGE Yes No WATERCOINNECTION <br /> INVESTIGATION FEE Yes <br /> No PARK FEE <br /> — <br /> SAC <br /> SITE L'vSnECTIC�V <br /> SAC Yes No - <br /> Number of SAC Units OTHER (specify) -_- <br /> ----------------------------- _ nn <br /> ZONL\G CHECK LIST Zoning <br /> District: /cIL' (& Shoreland District <br /> Fire Depaftment: G <br /> L. Post Office: School District: 0 <br /> Lot Area: Sa.n. Acres 2 <br /> Width Z6$b.ct3 Depth <br /> Survey Submitted: Yes A_ <br /> No Date of Survey: <br /> Proposed Setbacks: ' <br /> Front (Lake): -7� -8 Right Side: 3Z ;� <br /> Rear (Streeo: ��"+ ��1Left Side: �5`l(` C� <br /> Adjacent Structures: Wetland: At✓I14 <br /> _ Building Height: Def. Hot. Zg Peak Hot. <br /> Avg. Setback: Bluff Set ck: Lot Coverage: <br /> Exist' o ropcsed <br /> Hardcover: 0 75' <br /> 5-250' <br /> 250-500 <br /> 500-1000 — <br /> Hardcover V 'ance Requir : Yes 1 o Date of Co cil Approval: <br /> Grading: Staff Approval Date: 9- 12 -SSS Bv: �� Council Approval Date: <br /> 9 Septic: Staff Approval Date: Bv: 4�i <br /> Zonine File: Resolution: # Resolution Date: <br /> RE,v ARKS (in house): <br /> 26 <br />