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• • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-155 eHtrot s 'r' (2-45A06 <br /> PID: <br /> DESCRIPTION OF WORK: Ne tN t2.c.S <br /> ZON NG REVIEW BY: DATE APPROVED: /- i -o z <br /> BUILDING REVIEW BY: 9Jo <br /> DATE APPROVED: i- ' -c.)Z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes , - No SEWER CONNE6TION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC A. Yes pc No 1 SITEINSPECTION <br /> Number of SAC Units Czi ., OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L12-t(j <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Hb,S bO Acres I.o to Width Depth <br /> Survey Submitted: Yes y No Date of Survey: I - 13-0 2- <br /> Proposed Setbacks: <br /> F.Feet (Lake): q 3.4 Right Side: 20• <br /> Rear (Street): 13,6 % Left Side: I y' <br /> Adjacent Structures: N/P+ Wetland: N 1 A <br /> Building Height: Def. Hgt. 30 Peak Hgt. 4•1(,' 3" <br /> Lot Coverage: (0 10 <br /> To"Ke.(10 <br /> Grading: Staff Approval Date: 1 - 18 -0 2- By: Council Approval Date: - <br /> 1- •G. <br /> Septic: Staff Approval Date: /J I A By: <br /> Zoning File: # /V (A Resolution: # Resolution Date: <br /> Shoreland District: 5 <br /> Avg. Setback: I 0.t- Bluff Setback: N ( A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 3•b <br /> 75-250' z Y. <br /> 250-500' o•`( <br /> 500-1000' <br /> Hardcover Variance Required: Yes No $- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />