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t <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: A, 1 r o••�-s <br /> -------------------------------------------------------------------- <br /> ZONING REVIEW BY: eJ'nDATE APPROVED: <br /> BUILDING REVIEW BY: Or�� DATE APPROVED: l zg -oz <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <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. 63• °s Acres 1.y Width Depth <br /> Survey Submitted: Yes 4 No Date of Survey: S- 1- y7 <br /> Z o 3 <br /> r CO/V <br /> CY En4yProposed Setbacks: 44o Ap ±Front(Lake): 2 tO 14 $ S$ <br /> Rear(Street): 143 S Fe Jl <br /> • Left Side: 1 3:5 I <br /> Adjacent Structures: /U /A Wetland: d•K <br /> Building Height: Def. Hgt. 0.1C Peak Hgt. D <br /> Lot Coverage: O-k. <br /> Grading: Staff Approval Date: v .JL By: Council Approval Date: <br /> Septic: Staff Approval Date: /y 101- By: — <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /yo <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): <br /> 7 <br />