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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2cbO -ToNKA ASIe <br /> PID: <br /> DESCRIPTION OF WORK: A cow r %y ti <br /> ZONING REVIEW BY: 624,, DATE APPROVED: / --x7 <br /> BUILDING REVIEW BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c,� No :. <br /> PLAN 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 /> ZOtiZNG CHECK LIST Zoning District: <br /> Fire Department: �` Post Office: (.Cr (A-1G.(j School District: (9 Ns <br /> Lot Area: Sq.ft. 2'3.15-D Acres 5`S Width 1 J69.4 2- Depth ! Z5 .'Z.S <br /> Survey Submitted: Yes No Date of Survey: Z13A 5" <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): S1 + Left Side: ? <br /> Adjacent Structures: Q T'7 A Wetland: p.1 l/A- <br /> Building Height: Def. Hgt. Peak Hgt. d• <br /> Lot Coverage: Ci .'Cl <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # ZtoaB Resolution: R � �J Resolution Date: (0-S-02 <br /> Shoreland District: <br /> Avg. Setback: Af(A Bluff Setback: /414 <br /> Lot Coverage: q � <br /> Existing Proposed <br /> a <br /> Hardcover: 0-75' ---- . <br /> 75-250' <br /> 250-500' <br /> 500-1000' 11.3 _L21. <br /> Hardcover Variance Required: Yes No V_ Date of Council Approval: <br /> REIIA.RKS (in house): <br /> 7 <br />