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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 30►5 W 671--f—'rowr <br /> PID: <br /> DESCRIPTION OF WORK: /v c w 1ZC—S <br /> ZONING REVIEW BY: DATE APPROVED: 1 - 30-0Z <br /> BUILDING REVIEW BY: DATE APPROVED: 1 •3 o-o-z <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 v- PARK FEE <br /> SAC Yes No A,— SITEINSPECTION <br /> Number of SAC•Units Nor s faw•eMrV OTHER (specify) <br /> Ar-4M <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> 172/ <br /> Lot Area: Sq.ft.i"O o v Acres Width 4 AAZJJu t*v(__ Depth <br /> Survey Submitted: Yes _ No Date of Survey: <br /> Proposed Setbacks: <br /> Frost(Lake): 7 b5 Right Side: <br /> Rear(Street): 5`1.0 { Left Side: Oo.J') <br /> Adjacent Structures: N(A Wetland: Af 1A <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: r J 1A <br /> Grading: Staff Approval Date: By: /0 . Council Approval Date: <br /> Septic: Staff Approval Date: 1-o Z- By: -A`0 <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: *y 0, <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 />