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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 442,o ToN1,�.�w✓-� <br /> PID: <br /> DESCRIPTION OF WORK: 11-io p 1 o nl <br /> ZO.,NL G REVIEW BY: DATE APPROVED: i v <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�� No <br /> PLAN REVIEW Yesy' No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <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_cA,_ No Date of Survey: <br /> Proposed Setbacks: <br /> FqOm(Lake): Right Side: 15-Z <br /> Rew(Street): L1314 Left Side: 2 ea t <br /> Adjacent Structures: Wetland: N fA <br /> Building Height: Def. Hgt. d-(C 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: y415 <br /> Avg. Setback: p ,(L Bluff Setback: Lot Coverage: /U (A <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 />