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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: ZSD w A V-L.(i eW <br /> PID: <br /> DESCRIPTION OF WORK: 0.f_� <br /> ------------------------------------- -----_-----------------------------------------:-------` —------ -- <br /> ZONING REVIEW BY: DATE APPROVED: b 6-`Y <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes C/ No SEWER CONNECTION <br /> STATE SUR`HARGE Yes 4-- No WATERCONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- ---------------------- ------ ------------------- <br /> ZONING CHECK LIST Zoning District: R2-t --- <br /> Fire Department: Co t-,�Wcr; Post office: CA-v_�--, School District: bCLOAJ0 <br /> Lot Area: Sq.ft. A16 Acres Width — Depth <br /> Survey Submitted: Yes_� No Date of Survey: 0-�- �( <br /> Proposed Setbacks: <br /> Front (Lake): Al to Right Side: t 1,6- <br /> Rear <br /> SRear(Street): I go, Left Side: t", + <br /> Adjacent Structures: A7-TAC+- ej Wetland: dNJl/I- <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> F 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): <br /> 26 <br />