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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 43y1 Tb N k-&�A i-2&,4-0 <br /> PID: <br /> DESCRIPTION OF WORK: (—A/4& A c"%5 .syx,rt S <br /> ZONING REVIEW BY: DATE APPROVED: y .z�•a Y <br /> BUILDING REVIEW BY.• DATE APPROVED: Z- .•o y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _j,� No <br /> PLANREVIEW Yes ✓ No SEWER CONNEC770N <br /> STATE SURCHARGE Yes No WATER CONNEC770N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District: LR- 14 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1•Y Acres (pti,�fnO Width Depth <br /> Survey Submitted: Yes p, No Date of Survey: 1 • ZZ•0`� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> 1" Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # OY-zatfdL Resolution: # Resolution Date: - o <br /> Shoreland District: y�rS <br /> Avg.Setback: fj (A Bluff Setback: N JA- Lot Coverage: N 1.4 <br /> Existing Proposed <br /> Hardcover. 0-75' <br /> 75-250' �c <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />