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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O;L,� <br /> ADDRESS OR LEGAL: f� �� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: 4- DATE APPROVED: 1 Z-r -9g <br /> BUILDING REVIEW BY: DATE APPROVED: (L-rc— <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 SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (_(2-- I('-> <br /> Fire Department: 60v 6 CAIC6 Post Office: (,wv School District: 0/14^m <br /> Lot Area: Sq.ft. ZZ.,ytoLi Acres • S Width 1Z.5 Depth I -1 c1--11 <br /> Survey Submitted: Yes K No Date of Survey: Z 4, i S <br /> Proposed Setbacks: <br /> F+entr(Lake): 90 + Right Side: 23� <br /> Feat(Street): -1 V' Left Side: -1 5 -�- S <br /> Adjacent Structures: N Wetland: N 4 <br /> Building Height: Def. H�gt. f'• Peak Hgt. '— <br /> Lot Coverage: (0-`lv t <br /> Grading: Staff Approval Date: A-) Wa- By: — Council Approval Date: _ <br /> Septic: Staff Approval Date: N (A- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y Q S <br /> fYrAvg. Setback: 0%kc. Bluff Setback: /J li4 Lot Coverage: }p('jo <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 24-4t <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): �K e l,v c) _.7 s 0%.4- <br /> 6 u Lky, 0A, <br /> 7 <br />