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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y I tom L A a0.-) <br /> PID: <br /> DESCRIPTION OF WORK: Pc ca,LA4 <br /> ZONING REVIEW BY: P Q, DATE APPROVED: ( el-f <br /> BUILDING REVIEW BY: 3 ( �, DATE APPROVED: 2-Y - ts' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes t " 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: (Zig <br /> Fire Department: mr-fl put lit) Post Office: „Amu., School District: 0(24;A.1+ <br /> Lot Area: Sq.ft. /k C-1-0-171/ Acres r.-.< 410 Width Depth <br /> Survey Submitted: Yes pt No Date of Survey: (,,v <br /> Proposed Setbacks: <br /> Front (Lake): HO t. Right Side: (Q0 <br /> 17)c <br /> Rear (Street): ` ! Left Side: (00 <br /> Adjacent Structures: er- Lt{-t.n Wetland: :,-/ ( - <br /> Building Height: Def. Hgt. (L Peak Hgt. C? (L <br /> Lot Coverage: G"' IA <br /> Grading: Staff Approval Date: A/ (i1- By: Council Approval Date: <br /> Septic: Staff Approval Date: N(4 By: <br /> Zoning File: # Z 31 `1 Resolution: #-d; l(t L' Resolution Date: b-21 -`1 <br /> Shoreland District: n[v <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 />