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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31 SS w ATe ct-ro�., f2.z An <br /> PID: <br /> DESCRIPTION OF WORK: n•..1 <br /> ------------------------------------------------------ <br /> ZONLNG REVIEW BY: DATE APPROVED: y-2j-o <br /> BUILDING REVIEW BY: 6,pa DATE APPROVED: y• -a s <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No - SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONIvi G CHECK LIST Zoning District. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes V No Date of Survey: 1-'1-o 4f <br /> Proposed Setbacks: <br /> Front(Lake): "0"t Right Side: ® OZ' <br /> Rear(Street): t 000' + Left Side: '7$) <br /> Adjacent Structures: AT7►ccHx5o Wetland: N 1A <br /> Building Height: Def. Hgt. 0 .IL Peak Hgt. <br /> Lot Coverage: NIA <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # o4-;o3(. Resolution: # Saiz Resolution Date: g-9-oy <br /> Shoreland District: /Qb <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 />