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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Sol -T-O N)LC,q w A <br /> PID: <br /> DESCRIPTION OF WORK: m ^, C <br /> --------------------------------------_—____-- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: ly- 2-& -coo <br /> BUILDING REVIEW BY: DATE APPROVED: 10-7 .cx) <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO:tiING CHECK LIST _ Zoning District-( ,2--- --�� ------------------------------------------------- �I <br /> Fire Department: G-L. Post Office: (,o ,,(.14(Ar School District: O(ZAn/-� <br /> Lot Area: Sq.ft. 015 Z,'{b Acres -3.-5 Width 1l(o O Depth 37 Y <br /> Survey Submitted: Yes OZ No Date of Survey: y- Lb.7 q <br /> Proposed Setbacks: L4 5r amu(wz,,J fd <br /> Fit(Lake): -7 V' Right Side: /S'O <br /> Roar(Street): 2°OS Left Side: Z66 <br /> Adjacent Structures: 10'-t -t•. Poo( Wetland: N(A <br /> Building Height: Def. Hgt. n •te- Peak Hgt. 0.(L <br /> Lot Coverage: ill I Uh <br /> Grading: Staff Approval Date: — By: — Council Approval Date: r" <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # — Resolution Date: -- <br /> Shoreland District: V e S <br /> Avg. Setback: 0-%4 Bluff Setback: I Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 0 c <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />