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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: —1 U p rurvY�w,A,y t� <br /> PID: <br /> DESCRIPTION OF WORK: Qe -T-A Ir J t rt ra W q %-c-s <br /> ZON-I 1G REVIEW BY: DATE APPROVED: /o- y ' 01 <br /> BUILDING REVIEW BY: DATE APPROVED: n - y ' <br /> --- — — 14 --------------------------------------------------------- <br /> FEES TO BE CHARGED: �' Misc. ees Calculated By: P <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes X. No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: t_2- 1 A <br /> Fire Department: LL-- Post Office: L-L School District: O 'rZ LAN O <br /> Lot Area: Sq.ft. Z%, 5,7 Acres . C.6 Width 1 U 0 '3(- Depth Z 65`{ ��{ <br /> Survey Submitted: Yes Ot- No Date of Survey: $ Z1 V <br /> Proposed Setbacks: <br /> Front-(Lake): ">5 ` Right Side: 7 S <br /> Rear (Street): Left Side: 7 5 <br /> Adjacent Structures: _ Wetland: — <br /> Building Height: Def. Hgt. — Peak Hgt. —" <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: /O •2 `•f - o <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 0/-2-7) 7 Resolution: # Resolution Date: 10-2Y-401 <br /> Shoreland District: y es <br /> Avg. Setback: v n*rt c-o- Bluff Setback: N!A Lot Coverage: N/L <br /> Existing Proposed <br /> Hardcover: 0-75' 4.7 7.2 <br /> 75-250' 18.1 1%.1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_4 No Date of Council Approval: /a• <br /> REMARKS (in house): <br /> 7 <br />