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CHECK OFF LIST FOR ISSUANCE OF PERI IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t <br /> PID: , - � -, 1 <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: L r DATE APPROVED: !2.- Z• cr <br /> BUILDING REVIEW BY: DATE APPROVED: i 2- Z—5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SUR:HARGE 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: LP--I A <br /> Fire Department: «C- _ Post Office: School District: p iZoN o <br /> LJ <br /> Lot Area: Sq.ft. AM C Ff4f%L'Acres Width Depth <br /> Survey Submitted: Yes x- No Date of Survey: <br /> Proposed Setbacks: I - <br /> Front (Lake): 1 O += Right Side: 5 — <br /> Left Side: (?Q <br /> c <br /> Adjacent Structures: Wetland: <br /> c <br /> Building Height: Def. Hgt. Peak Hgt. 23 c <br /> Lot Coverage: <br /> Grading: Staff Approval Date: ^/(A- By: — Council Approval Date: -' <br /> Septic: Staff Approval Date: Niev By: - <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> NA- 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 /> 26 <br />