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I <br /> 40 <br /> t CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3S3o T iz N 1 Zp f40 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: _0/ <br /> BUILDING REVIEW BY: DATE APPROVED: n •2q .,� <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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 14021`- tc) Acres l.0Li Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 36 Right Side: -101' <br /> Rear(Street): 2'10' Left Side: 47 <br /> Adjacent Structures: AjTo ct+,_� Wetland: lu 64 <br /> Building Height: Def. Hgt. Peak Hgt. p <br /> Lot Coverage: 0•K <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # o 1 -4-113 Resolution: # Resolution Date: <br /> Shoreland District: N'o <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed i <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />