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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Z l 6 S W A T QZT 0 W nl (2-y�kMA6 <br /> PID: <br /> DESCRIPTION OF WORK: ►- t O m <br /> ZONING REVIEW BY: DATE APPROVED: i I-(-3-S 7 <br /> BUILDING REVIEW BY: DATE APPROVED: (/-t 3-S 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURA HARE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y;;S No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 12(Z-1% <br /> Fire Department: (,uni C.,CA(LE Post Office: LzNC, L.IAtc-ems School District: Q(-'—' JN a <br /> Lot Area: Sq.ft. 4 Acres I. Width 244-1.-S5- Depth 1 <br /> Survey Submitted: Yes Y, No Date of Survey: 10-2-11- 11 <br /> Proposed Setbacks: I <br /> Front(Lake): _ _8 1 _ Right Side: Q•1 <br /> Rear(Street): J 5 Left Side: 16 <br /> Adjacent Structures: N K Wetland: N (A <br /> Building Height: Def. Hgt. 0 Peak Hgt. <br /> Lot Coverage: 04C <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <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): <br /> 26 <br />