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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 025 "T'om-Aw A <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONI\i TG REVIEW BY: - �M-------------DATE APPROVED: Op- a~oS <br /> o. <br /> BUILDII\G REVIEW BY. DATE APPROVED: r os <br /> ____----------------------------------------------------------- <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 _5Ac P.4,o /�-rv•�s OTHER (specify) <br /> ------------- _.Lkl of �y270 <br /> ZONING CHECKLIST Zoning District: LR•I(L <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 56,s53 Acres I.-3 Width i3L OU P �� Depth <br /> Survey Submitted: Yes DL No Date of Survey: 'I-V3-014 <br /> Proposed Setbacks: <br /> Front(Lake): 10 Right Side: t4.4 <br /> Rear(Street): %'37 t Left Side: 52.3 <br /> Adjacent Structures: All A Wetland: n1/A <br /> Building Height: Def. Hgt. 30 Peak Hgt. -31 <br /> Lot Coverage: 7`7o + <br /> Grading: Staff Approval Date: 8-10 -o!!5" By:TK-t l-o Council Approval Date: <br /> Septic: Staff Approval Date: NIA By: <br /> Zoning File: # 5-340-1 Resolution: # Resolution Date: -7•Z6roS <br /> Shoreland District: v t 5 <br /> Avg. Setback: D.1` Bluff Setback: (9•L Lot Coverage: -7�o <br /> Existing Proposed <br /> Hardcover: 0-75' Y,y <br /> 75-250' 2Y•r <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No__,el Date of Council Approval: <br /> REMARKS (in house): <br />