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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �`-t 1 -1O&) ,4',,A t20 h,'> <br /> PID: ' <br /> DESCRIPTION OF WORK. <br /> ------------------------------------ ----NC G <br /> - -i2c 5------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 25-t. <br /> BUILDINGREVIEWBY.• DATE APPROVED: <br /> --------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLANREVIEW Yes ✓ No SEWER CONAEC77ON <br /> STATESURCHARGE Yes- >"" No WATER COMVEC77ON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No SITE INSPEC77ON <br /> Number of SAC Units c,0.J.-0%r PAO's— OTHER (specify) <br /> -------------------------------------------------------Q E'-v�-'=------------------------------------------------------ <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq;ft. &2,4o Acres Width 1Depth Yl(,' t <br /> Survey Submitted: Yes oc No Date of Survey: 1-2-Z-os. <br /> Proposed Setbacks: <br /> Front (Lake): 1-YZ-S Right Side: 26-5 <br /> Rear (Street): l A) Left Side: 1-0.0 <br /> Adjacent Structures: — Wetland. — <br /> Building Height: Def. Hgt. -30 Peak Hgt. 3 f� <br /> Lot Coverage: -7070 <br /> Grading: Staff Approval Date: 9-s--o3-1 Council Approval Date: <br /> Septic: Staff Approval Date: N t H By. <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: U_e s <br /> Avg.Setback: o•1_ Bluff ff Setback: Al (4- Lot Coverage: 17 67a <br /> Existing Proposed <br /> Hardcover: 0-75' 0 <br /> 75-250' zY.4 <br /> 250-500' s.s <br /> 500-1000' <br /> Hardcover Variance Required. Yes No oL Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />