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` I <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: AW I n o^J <br /> ------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: t o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAIN 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: (ZR-t A <br /> Fire Department: T t,%J Post Office: School District: 0R ONO <br /> Lot Area: Sq ft. 3S 6-150± Acres f Width -11 V Depth So S <br /> Survey Submitted: Yes j< No Date of Survey: 1 -3Q•9 $ <br /> Proposed Setbacks: <br /> Front(Lake): 100` Right Side: ►to t <br /> Rear(Street): 'Z60 ' t Left Side: SZA` �- <br /> Adjacent Structures: moo' +• Wetland: n/i A <br /> Building Height: Def. Hgt. 0 g Peak Hgt. p%lC <br /> Lot Coverage: N ( A- <br /> Grading: Staff Approval Date: I 0 -(5 -y t By: o10 Council Approval Date: <br /> Septic: Staff Approval Date: C%fC By: /V <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <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): S 2J AT"c ffNc%0 4--' (3,-� 'P <br /> 7 <br />