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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L1735- "73N1v4 V/C,ZJ b4>v e <br /> PID.- <br /> DESCRIPTION <br /> ID:DESCRIPTION OF WORK AM) 176 oy S <br /> ------------------------------------« -- -«--«-----------------------------------------------------------«---- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY.• DATE APPROVED. i o - v o -o-3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1/ No <br /> PLANREVIEW Yes�� No SEWER COMVEC77ON <br /> STATE SURCHARGE Yes f,- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------«-------------------------------------------------------------- <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq;ft. Acres Width Depth <br /> Survey Submitted: Yes o- No Date of Survey: 9.16. 0 3 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: Zit' <br /> Rear (Street): 7 p t Left Side: Y f,± <br /> Adjacent Structures: Al 4A Wetland: W/,4 <br /> Building Height: Def. Hgt. O-\C Peak Hgt. <br /> Lot Coverage: 4 5 "r/o <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: \t-el <br /> Avg.Setback:'_&64- Bluff Setback: N (A-- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' /3•q <br /> 500-1000' <br /> Hardcover Variance Required. Yes No pr Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />