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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ,;tZo FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 364W -T-0&J1cAwttl C7-C�PT✓J <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ----------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: q�-2-S-o f <br /> BUILDING REVIEW BY: DATE APPROVED: Q -Z-i-63 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t,� No <br /> PLAN REVIEW Yes r/ 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 /> ZONLNG CHECKLIST Zoning District: 62.16 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. y V,1 t 0 Acres I .0'1 Width Depth <br /> Survey Submitted: Yes _ No Date of Survey: 1 - 6 - 0!5 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hat. Peak Hgt. <br /> Lot Coverage: <br /> Gradina: Staff Approval Date: By: Council Appr al Date: —23 01; <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #0! •.306 s7 Resolution: # Resolution Date: <br /> Shoreland District: VPS <br /> Avg. Setback! Bluff Setback: Lot Coverage: t3 <br /> Ezistin- Proposed <br /> Hardcover: 0-75' 3 <br /> 75-250' 30,c) <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes mac_ No Date of Council Approval: S" - Z3-oS <br /> REMARKS (in house): <br />