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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3(,Cfo 7-t->(.c-> t?�or►✓J <br /> -PID: <br /> DESCRIPTION OF WORK: <br /> ------ --- ------ ----------------------------------------:------ <br /> ZONING REVIEW BY: DATE APPROVED: � --- <br /> 01 <br /> BUILDING REVIEW BY: DATE APPROVED: -7-3_ v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAIN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District: LR-I - <br /> Fire Department: M e,ti N n Post Office: WA4�t Tn School District: <br /> Lot Area: Sq.ft.� �i 1 to o Acres . 3`t Width /o`-1 Depth J c s <br /> Survey Submitted: Yes DzNo Date of Survey: 4 •L V -U 1 <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 5� <br /> Rear (Street): 47 Left Side: 3S <br /> Adjacent Structures: r Wetland: Z6 <br /> Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: -v K <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /%--4J <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 />