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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 0A5—9Q LU A / <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: L DATE APPROVED: <br /> BUILDING REVIEW BY: ny DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes z/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ 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: 2Q• 1(� <br /> Fire Department: (,p,u Post Office: School District: ()AxA,,O <br /> Lot Area: Sq.ft. ,o Acres Width Depth <br /> Survey Submitted: Yes kC No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): 118 � Right Side: <br /> Rear (Street): Left Side: ( &V 4 <br /> Adjacent Structures: 10 Wetland: N (A <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 /> Shoreland District: <br /> - Avg. Setback: Bluff Setback: <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 /> 10 <br />