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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 46Lt 0 -1—o ri lc-4 L..,rA <br /> PID: <br /> DESCRIPTION OF WORK: L—R Lrz.-7t*n� <br /> ZONING REVIEW BY: DATE APPROVED: A- LZ -ol <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ----- ------------------------------------------------- ------------------------------ <br /> FEES TO BE CHARGED: " M`isc°d. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes 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: (-2.16 <br /> Fire Department: Lt N W Post Office: Lag� School District: p/Len/b <br /> Lot Area: Sq.ft. wo C ff?kg Acres Width Depth <br /> Survey Submitted: Yes_oc No Date of Survey: oM Fi t.(; 2_I-ly <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> oe Lot Coverage: <br /> u Grading: Staff Approval Date: By: Council Approval Date: <br /> 1_+ Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <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 />