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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Z4 8 S WA-J g7z 70'---'A! A'0o <br /> PID: <br /> DESCRIPTION OF WORK: p0c)1 <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY:. DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes _1� No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <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: <br /> Fire Department: ni Gtr Post Office: eo (4-r r cr School District: CAA--0 <br /> Lot Area: Sq.ft. ILoy Cj f2! r t Acres Width Depth -- <br /> Survey Submitted: Yes X No Date of Survey: oN IL+LA-:'— <br /> Proposed <br /> A-Proposed Setbacks: <br /> From('Lake): /, S Right Side: 1 $a <br /> Rear(Street): 116 Left Side: (0S <br /> Adjacent Structures: /2 Wetland: N 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 /> 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 /> 7 <br />