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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yZS Toiwc►woq <br /> PID: <br /> DESCRIP'T'ION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: 3-I 1-oma( <br /> BUILDING REVIEW BY: DATE APPROVED: -3-►t 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 v 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: eN G uc <br /> Proposed Setbacks: <br /> Front(Lake): 306, Right Side: I `86� f <br /> Rear(Street): 21,0� t Left Side: 9O <br /> Adjacent Structures: n/(/4- — Wetland: N/14 <br /> Building Height: Def. Hgt. e), Peak Hgt. <br /> Lot Coverage: /l 114 <br /> Grading: Staff Approval Date: -J By: Council Approval Date: <br /> Septic: Staff Approval Date: AJ I By: — <br /> Zoning File: # -- Resolution: # — Resolution Date: <br /> Shoreland District: ve-5 <br /> Avg. Setback n!/p Bluff Setback: _ Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' No C'" <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_i2e, Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />