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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: C 0 2-.0 A-�lj <br /> PID: <br /> DESCRIPTION OF WORK: /Ve,-w /Z c S <br /> ------------------------------------------------,------------------------------------------------------------------------- <br /> ZONING REVIEW BY: Com' DATE APPROVED: - <br /> BUILDING REVIEW BY: DATE APPROVED: U -z+-c,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 SITEINSPECTION <br /> Number of SAC Units �L_ OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L r2- ((- <br /> Fire <br /> LFire Department: PYtil3,,v Post Office: s School District: <br /> Lot Area: Sq.ft. 'Z14,1699 Acres 5Width / -?-Z Depth Z 0 Z <br /> Survey Submitted: Yes +C No Date of Survey: 4- 1 c3 <br /> Proposed Setbacks: <br /> Front (Lake): 30 Right Side: ti o X93 <br /> Rear (Street): U Left Side: L�f > <br /> Adjacent Structures: Qw Wetland: 10b, N <br /> Building Height: Def. H/gt. Z 5 Peak Hgt. 2b <br /> ,/ <br /> Lot Coverage: I , " (u <br /> Grading: Staff Approval Date: 11 - 15-00 By: C0.om_ Council Approval Date: <br /> Septic: Staff Approval Date: I l By: <br /> Zoning File: # Resolution: # — Resolution Date: — <br /> Shoreland District: Jv o <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 /> 27 <br />