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4 <br /> l CHECK OFF LIST FOR ISSUANCE OF PERiMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4 0`{S w Pc 2T ow 1\1 RAS <br /> PID: <br /> DESCRIPTION OF WORK: t, <br /> ZONING REVIEW BY: C;� -- DATE APPROVED: -7- q - c.) <br /> BUILDING REVIEW BY: U AJ ,4 DATE APPROVED: <br /> FEES TO BE CHARGED: 131°GSADisc ees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA I ER 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: N( <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes 04 No Date of Survey: 6.J I e <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: 1 0' 4- <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: —I-19` (7 J By: ox‘20 Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: AID <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 />