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CHECKOFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1035 -ro"Y.-AWA <br /> PID: <br /> DESCRIPTION OF YVORK: 1'L��►'� c` Potin w�� v� � � �� <br /> ---------------- --------------- --- <br /> ----- --------------------------------------------------------------------- <br /> ZON[1VG RE VIE PV B Y: DATE APPROVED: 1- 1 -05 <br /> BUILDING REVIEW BY: DATE APPROVED: i • 7 - -',%-5 <br /> -------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAiV REVIEW Yes r/ No SEWER COMVECTION <br /> STATE SURCHARGE Yes ✓ 1Vo WATER COtWECTMV <br /> INVESTIGATION FEE Yes tvo PARK FEE <br /> SAC .Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------- - <br /> ZONING CHECK LIST Zoning District: /yo Ct+onr a— <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ;Ur No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetla d: <br /> Building Height: Def. f-[,-,t. Pe -Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District. <br /> Avg.Setback: Bluff Setba Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br /> j <br />