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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL� <br /> ADDRESS OR LEGAL: 2-103 w nca- .R S o R-'r LA N <br /> PID: <br /> DESCRIPTION OF WORK: =kA c,(- �=Z•<< <br /> ---------- - <br /> ZONING REVIEW BY: - ---��--- DATE APPROVED: . <br /> BUILDING REVIEW B, DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN 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 /> ----------- -------------------------------------- ------------------------------------------ <br /> ZONING CHECK LIST Zoning District: AVO C 14.1 / -e <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear(Street): Left Side: <br /> Adjacent Structures: tland: <br /> Building Height: Def. Hgt. P Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: <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): v J)(~3 Sv!�/n _� /�PP/W j-- <br /> s� re "C,2r7ur= =x ( snN` Dei < <br /> 7 <br />