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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L/(jC)7 thj4TER.TQU)iV 124410 <br /> PH): <br /> DESCRIPTION OF WORK: ize wt. try .L <br /> ZONING REVIEW BY: - A DATE APPROVED: -Z -4i3 <br /> BUILDING REVIEW BY: eWWi DATE APPROVED: 6 2} –1 <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 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: Rik- IA <br /> Fire Department: Mapa&r PLA IN Post Office: twit: p.4I.U" School District: atkr Fc:1N <br /> Lot Area: Sq.ft. Acres h.Ctr`-4 Width Depth <br /> Survey Submitted: Yes V. No Date of Survey: —I I- 4:7) <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> �( v ` Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 23 fa y Resolution: # Resolution Date: <br /> Shoreland District: t‘..10 <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 />