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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Ukr-)C-- <br /> PID: "l/? -_;Z :3 �2 -7 <br /> DESCRIPTION OF WORK: VJ F--uC <br /> ---------------------------------------- ----------------------------------------------------------:-------( ---------- <br /> ZONING REVIEW BY: ( -- DATE APPROVED. 7 `z <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes �c No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Lk-16 <br /> Fire Department: rVle:o :vv) Post Office: School District: <br /> Lot Area: Sq.ft. Nvo U+Ai-V Acres Width Depth <br /> Survey Submitted: Yes A No Date of Survey: on t—r t..: <br /> Proposed Setbacks: <br /> Front (Lake): -7.3� Right Side: i 2-C : <br /> �= <br /> Rear (Street): 3 S r % Left Side: <br /> Adjacent Structures: A-MAc c+4 Wetland: f,4 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <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 /> 7 <br />