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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: -2-41's w�A�2'row�1 l�Odd <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ----------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: V-3v-o 2- <br /> BUILDING <br /> BUILDING REVIEW BY: DATE APPROVED: 4-3 o -o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ci 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. $lioSU Acres I-9rt Width 21tp Depth 7(! *4-, <br /> Survey Submitted: Yes 0,- No Date of Survey: pnr r'i c,Z <br /> Proposed Setbacks: <br /> Front(Lake): 080 + Right Side: ?oo' + <br /> Rear(Street): Ito , + Left Side: 50` + <br /> Adjacent Structures: lot + Wetland: A14A <br /> Building Height: Def. Hgt. 6.lc Peak Hgt. <br /> Lot Coverage: —^JtA <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: AN <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 />