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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 315 TUN W`..J A i?- AiO <br /> PID: <br /> DESCRIPTION OF WORK: ne(-K <br /> ZO,N] TG REVIEW BY: DATE APPROVED: 12 -19 -of <br /> BUILDING REVIEW BY: CUL,, DATE APPROVED; t z-I b -o I <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLATIN REVIEW Yes L-- No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Z IIS Right Side: 302- <br /> Rear (Street): 1 -7 S , Left Side: S"0` <br /> Adjacent Structures: 177-A Frzs� Wetland: Al 1A <br /> Building Height: Def. Hgt. /J Peak Hgt. N(/a- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: /1(A By: — Council Approval Date: <br /> Septic: Staff Approval Date: n)(/4 By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: H-e5 <br /> Avg. Setback: /L)I n Bluff Setback: N Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' zLf.n <br /> Hardcover Variance Required: Yes No D< Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />