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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Soo -'oN ICW W IA t'to WIC <br /> PID: <br /> DESCRIPTION OF WORK: Pot-0— <br /> ----- <br /> Nous <br /> ZONING REVIEW BY: DATE APPROVED: 1 •Z z cr S <br /> BUILDING REVIEW BY: DATE APPROVED: - •5$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/• No <br /> PLAN REVIEW Yes t,— 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 /> --------------- <br /> ZONING CHECK LIST Zoning District: IR-1A <br /> Fire Department: C*,V& L4 K-C Post Office: CoN 6 C.A/4Z School District: O R o iy o <br /> Lot Area: Sq.ft. /VO C HAAI(1dAcres — Width -- Depth - <br /> Survey Submitted: Yes_mac No Date of Survey: pis F I lam? <br /> Proposed Setbacks: <br /> Front(Lake): 100 Right Side: I ub'+ <br /> Rear(Street): I OJ, Left Side: 10 <br /> Adjacent Structures: to +- Wetland: N//a <br /> Building Height: Def. Hgt. O•K Peak Hgt. O.K <br /> Lot Coverage: MIA <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: (14 By: <br /> Zoning File: # - Resolution: # — Resolution Date: <br /> Shoreland District: v& S <br /> Avg. Setback: d• k- Bluff Setback: /V/A Lot Coverage: d.►C. <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 0•�� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />