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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �1 S T n I�tK1�Nl l4 R-6 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUII,DI�TG REVIEW BY: N/A DATE APPROVED: <br /> &W`,`, Misc. Fees Calculated By: <br /> FEES TO BE CHARGED: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No �SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: to-/ L R-14 Shoreland District <br /> Post Office: ff? � <br /> 1 [strict: <br /> Fire Department: <br /> Lot Area: Sq.ft. <br /> cres Wi th Depth <br /> Survey Submitted: Yes _ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Ha. <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing. Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> ok 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Y <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> septic: Staff Approval Date: By: <br /> Zoning File: # 21I5' Resolution: # 3?a Resolution Date: <br /> (in house): <br />