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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: o ti A%g <br /> PID: <br /> DESCRIPTION OF WORK <br /> ZONING REVIEW BY.• DATE APPROVED: g• g• Z <br /> BUILDING REVIEW BY.• DATE APPROVED: g-�5• a z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c,— PARK FEE- <br /> SA C <br /> EESAC Yes c/ No SITE INSPECTION <br /> Number of SAC Units 1- OTHER (specify) <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq;ft. "736 Acres _T Width Depth <br /> Survey Submitted: Yes C No Date of Survey: 7. 31- o2 <br /> Proposed Setbacks: <br /> Front (Lake): 140-5 Right Side: (o4-% <br /> Rear (Street): 4Z.( Left Side: 41.3 <br /> Adjacent Structures: MIN Wetland. ,y 1.4 <br /> Building Height: Def. Hgt. b• Peak Hgt. C), k <br /> Lot Coverage: Ct <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # o 2-Zg o o Resolution: # Resolution Date: 7• ZZ-o-Z <br /> Shoreland District: N-CS <br /> Avg.Setback: NI a Bluff Setback: m /4- Lot Coverage. <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' ZO.Cl <br /> Hardcover Variance Required. Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />