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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( 310 V!N L, P LACA-- <br /> PID: <br /> DESCRIPTION OF WORK: A 0a 1 T l p N <br /> ZONING REVIEW BY: DATE APPROVED: g- )!5--0 S <br /> BUII.Dr G REVIEW BY: DATE APPROVED: 9-c5 o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No t/ PARK FEE <br /> SAC Yes No v-" SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: LIZ- 13 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres -S Z Width 1('=,' Depth <br /> Survey Submitted: Yes X No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _JS Right Side: 2"L•S. G <br /> Rear (Street): ZU' Left Side: 11 q <br /> Adjacent Structures: (41 Wetland: tj(A <br /> Building Height: Def. Hat. 23 Peak Hat. Z� <br /> Lot Coverage: I 1°Za <br /> Grading: Staff Approval Date: /VBy: Council Approval Date: <br /> Septic: Staff Approval Date: A/ R By: <br /> Zoning File: # OS- 311 Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: \JA04o.,vc-e Bluff Setback: Lot Coverage: UgKXEt 14°(o <br /> Existing Proposed <br /> Hardcover: 0-75' 11• ( 3 9 <br /> 75-250' 2.4. 1 2`-1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_t No Date of Council Approval: 7- 11 a7S <br /> REIN 'S (in house): PGeA-s i=--L-A b— ('AA7Vrn(4 PO�?-f if v (,(A-V <br /> ✓ log= a <br />