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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-)S w A I �C---LQ �'Zc A 3 <br /> PID: 1ti -23 <br /> DESCRIPTION OF WORK: �;j <br /> ZONING REVIEW BY: DATE APPROVED: le-1-77-'i7 <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`HARG E Yes _sem 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: e— -0 <br /> Fire Department: (1z>•v Post Office: 64-16� School District: 0/DC7 <br /> Lot Area: Sq-ft- No C 6(22:v Acres Width Depth — <br /> Survey Submitted: Yes No Date of Survey: I <br /> Proposed Setbacks: <br /> Front (Lake): `� S� + Right Side: Ste' <br /> Rear (Street): bO6` Left Side: <br /> Adjacent Structures: >'a Wetland: N <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: N//I- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:-ict: <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 />