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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z/75-0 TON/<Ay�GL-.J GA^Jzc" <br /> PID: <br /> DESCRIPTION OF WORK: /V6(,j /265 <br /> ZONING REVIEW BY: DATE APPROVED: g • v s <br /> BUILDING REVIEW B . DATE APPROVED: eB -B-off <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No= SITEINSPECTION <br /> Number of SAC-Units Pw,,o OTHER (specify) <br /> ------------- ss L4--------- ------------------------------------- <br /> ZONING CHECK LIST Zoning District: 6/1• �3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. y3`%44 Acres [ . Width i y&�vL44, Depth <br /> Survey Submitted: Yes A No Date of Survey: ?-Z-7-cS <br /> Proposed Setbacks: <br /> Front(Lake): T5 ' Right Side: 5c1-116 <br /> Rear (Street): 104 Left Side: 7 0 <br /> Adjacent Structures: /V to& Wetland: N 111 <br /> Building Height: Def. Hat. 30 Peak Hgt. 39 <br /> Lot Coveraae: 5-4 d7° <br /> Grading: Staff Approval Date: g $ -O 5 By: � Council Approval Date: <br /> Septic: Staff Approval Date: p1 of By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �j Los <br /> Ava. Setback. NO 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_�C Date of Council Approval: <br /> REMARKS (in house): <br />