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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 64% -r0KX0,wv4 t2or4�1 <br /> PID: <br /> DESCRIPTION OF WORK: IP AN I t_t 1014 <br /> ---------------------------------------------------------------------`------Z- <br /> ZONING REVIEW BY: DATE APPROVED: _ C1 a <br /> BUILDING REVIEW BY: DATE APPROVED: (� •<<i _ o Z <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 WATERCONNECITON <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes K No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 3!SQ Right Side: <br /> Rear(Street): Z20 ' Left Side: 2 50 9 3 <br /> Adjacent Structures: 38 Wetland: <br /> Building Height: Def. Hgt. 6 t Peak Hgt. <br /> Lot Coverage: N )/P <br /> Grading: Staff Approval Date: By: � Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: #0t•277 S Resolution: # Resolution Date: <br /> Shoreland District: V Cf <br /> Avg. Setback: /v Bluff Setback: N 1A Lot Coverage: 3L% )l <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' O. <br /> 500-1000' <br /> Hardcover Variance Required: Yes No oC Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />