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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -1-14 <br /> PID. <br /> DESCRIPTION OF WORK: Nt:w <br /> —_ _—-------------------------------------------------------------- <br /> ZON NG REVIEW BY: r DATE APPROVED: f 1- t- 6 S' <br /> BUILDING REVIEW BY: 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 AIV) f OTHER (specify) <br /> 3i��'2 <br /> -------------------------------- ---------- <br /> ---------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 42-18 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 15,6S q Acres 3b Width -7,f 5ck w Depth <br /> ' <br /> Survey Submitted: Yes_4 No Date of Survey: !v - 0 5 <br /> Proposed Setbacks: <br /> Front(Lake): 13 6' Right Side: 10 <br /> Rear(Street): 3 0-It Left Side: 10 <br /> Adjacent Structures: N IiA Wetland: ey (/1 <br /> Building Height: Def. Hgt. 3o Peak Hgt. 3!& S <br /> Lot Coverage: 1 y"Ta <br /> Grading: Staff Approval Date: -rbw, I4k0*! By: 9.1-6 S Council Approval Date: �- <br /> Septic: Staff Approval Date: !J 114 By: <br /> Zoning File: # *9-3045 Resolution: # Resolution Date: q• 12-057 <br /> Shoreland District: <br /> Avg. SetbackJ. Bluff Setback: N1 k4 Lot Coverage: t S�a <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Z7. 2 27.2 <br /> 250-500' 46.(d 39•`f <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: '?-IL -6 S <br /> REMARKS (in house): <br />