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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1335 rto Nw A 2A <br /> PID: <br /> DESCRIPTION OF WORK: Ne UJ 1?�C­5 <br /> ZON, 'LIG REVIEW BY: _ -- --------------- <br /> DATE APPROVED: 9-Z 3 -o y <br /> BUILDING REVIEW LBY: DATE APPROVED: 9.Z 3 - .y <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes — 1�7t-0.No _ SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> -- -----______--_------_--- -------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: 0 '3 <br /> Proposed Setbacks: <br /> Front(Lake): 105 4 Right Side: 113• 2- <br /> Rear (Street): Left Side: (0-5 <br /> Adjacent Structures: (//A Wetland: /V/A <br /> Building Height: Def. Hgt. D v Peak Hgt. G <br /> Lot Coverage: d-.- <br /> Grading: Staff Approval Date: 9 - Z 3 -o By: SCouncil Approval Date: <br /> -} TOM �C.tJ�d�C-P <br /> Septic: Staff Approval Date: ^J I A By: <br /> 50401Vei10N <br /> Zoning File: # 2577 Resolution: # Resolution Date: <br /> Shoreland District: y P5 Lot Coverage: 0•kc- <br /> Avg. <br /> Setback c9.1` Bluff Setback: N I/�_ � <br /> Existing Proposed <br /> Hardcover: 0-75' -23 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No A_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />