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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ApDRESS OR LEGAL: 33 3 o w A-rt-12T0 w&V 124 A-0 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: t4 DATE APPROVED: 6 - z,-ox <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLATIN REVIEW Yes // No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATERCONNECTION <br /> INVESTIGATION FEE Yes No t/ PARK FEE <br /> SAC Yes No t/ SI TEINSPECTION <br /> Number of SAC-Units -Sx frac. OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ c, No Date of Survey: K t7• oc, <br /> Proposed Setbacks: <br /> Front(Lake): '2 o A- 3 i Right Side: 364•Z 5- <br /> Rear <br /> Rear (Street): c),30 ' # Left Side: 9 2S = <br /> Adjacent Structures: N /A Wetland: Cis, <br /> Building Height: Def. Hgt. /13 Peak Hgt. 23' <br /> Lot Coverage: 0 /j4 <br /> Grading: Staff Approval Date: 6 • 2 'b'l By:d•0 f Council Approval Date: <br /> /j,gse�rw-I <br /> A, X 974 sralt.w.w�r�/L <br /> Septic: Staff Approval Date: By: N1./3 ryvfn�n -° r n ii4^' s E+•w S 970.y <br /> L�,��i,,,,a ,4�Lu✓5 3•v p-F• �ca..t�C 4vp'f� <br /> Zoning File: # — Resolution: # -- Resolution Date: <br /> Shoreland District: N V <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 />