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CHECKOFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 107-0 T oN I-Aw A MtNtn <br /> PID: <br /> DESCRIPTION OF YVOR.K: QL i�C tf+c-1-> 644466 <br /> ------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATEAPPROVED: Z. -7— <br /> BUILDING REVIEW BY: DA TE APPROVED: 1- <br /> -- -- ------------- ------------------------------------------------------------- <br /> -------------------------------------- - -- <br /> FEES TO BE CHARGED: Afisc. Fees Calculated By: <br /> PERA 11IT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No TVA TER COJ NECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify). <br /> -------------------------------------------------------------- -- <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ZC _ No Date of Survey: 10-U -641 <br /> Proposed Setbacks: <br /> Front(Lake): SI 53 t Right Side: 17 <br /> Rear(Street): 2�0 Left Side: SS <br /> Adjacent Structures: Z(.Z' Wetland: N/,4 <br /> Building Height: Def. Hgt. Peak Hgt <br /> Got Coverage: 'IVI,4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning Fife: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg.Setback. n.(e— Bluff Setback: N V Lot Coverage: /V/A <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 10 -3 <br /> Hardcover Variance Required: Yes No Date of Council'Approval: <br /> REMARKS(in house): <br /> 31 <br />