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• P <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: &SO T 0 N tcA w A IZAA,O <br /> PID: <br /> DESCRIPTION OF WORK: A 60 t o n1 <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: a DATE APPROVED: <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 PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L2- I C3 <br /> Fire Department: I—ON a LA w Post Office: LuN 6 (A u,,c School District: 012-z�-o <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes c No Date of Survey: 10 -t-1- O 0 <br /> Proposed Setbacks: , <br /> Front(Lake): X2.0 7 + Right Side: (oO <br /> Rear (Street): ISSZ Left Side: Zet Q <br /> Adjacent Structures: Al to" Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. C� �• <br /> Lot Coverage: 0, I<- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: sjt5, <br /> Avg. Setback. Bluff Setback: IVA Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' I.i q I-Cii - <br /> 75-250' /-C 15.52- <br /> 250-500' 38. I o 3b• o <br /> 500-1000' <br /> Hardcover Variance Required: Yes No o` Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />