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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 51 0 x tz'ot2 C Ca,o D <br /> PID: <br /> DESCRIPTION OF WORK: Po a 1 <br /> ZONING REVIEW BY: / ,_ DATE APPROVED: 3 -2.5 <br /> BUILDING REVIEW BY: AMMO DATE APPROVED: 3 - Z s- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes t— No SEWER CONNECTION <br /> STATE SURCHARGE Yes - No WATER CONNECTION <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: LR- I A <br /> Fire Department: (,p NL. Post Office: (,o,"c�cJ(A-t,.,-s- School District: of/.25,\10 <br /> Lot Area: Sq.ft. Nb CHAty, Acres Width Depth <br /> Survey Submitted: Yes c No Date of Survey: O,.1 r I <br /> Proposed Setbacks: _ <br /> FFernt (Lake): 4 O Right Side: � <br /> Rear(Street): ?..-.11)0c Left Side: I 3 <br /> Adjacent Structures: j j} Wetland: N I A <br /> Building Height: Def. Hgt. A) ( A Peak Hgt. <br /> Lot Coverage: N (J4 <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: /`f /14 Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' Z 3 2-).r <br /> 500-1000' <br /> Hardcover Variance Required: Yes No -- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />