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i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: ZSZ J 'i'K pRc9.i6tt (.�S�LC.O <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: s•Z-o <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 STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: aR•It; <br /> Fire Department: —uN&UIG6 Post Office: Qo School District: b 20 N, <br /> L <br /> Lot Area: Sq.ft. OolJ,> Cid Acres Width Depth <br /> Survey Submitted: Yes_ c, No Date of Survey: 95-11 -415" <br /> Proposed Setbacks: <br /> Front(Lake): 12.0 Right Side: 35 <br /> Rear(Street): I IS +' Left Side: t t t; � �- <br /> Adjacent Structures: A 77vge-ty,cpO Wetland: <br /> Building Height: Def. Hgt. /✓(4 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 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 /> 7 <br />