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• , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1-796,S Ctm- YLTO',J <br /> PID: <br /> DESCRIPTION OF WORK: Poc, Gfl2nO <br /> ZONING REVIEW BY: tI DATE APPROVED: 5-z$- <br /> BUILDING REVIEW BY: 0 z DATE APPROVED: - z e -9 to <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 ri PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: R Q- I A Shoreland District : N 0 <br /> Fire Department: /r/PGG /v4/n) Post Office: MATt/Crcilit./ School District: 0/()Ara <br /> Lot Area: Sq.ft. 4/0 Acre( (c/U(c dm Depth <br /> Survey Submitted: Yes O` No Date of Survey: MM 98 <br /> Proposed Setbacks: <br /> Front (Lake): f oo ` `- Right Side: AO t 4 E <br /> Rear (Street): 50' -4- Left Side: . C.)1-!: (.."3 <br /> Adjacent Structures: ?0( Wetland: N(4 <br /> s- <br /> ( - <br /> Building Height: Def. Hgt. / ( t Peak Hgt. /(P <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> fHardcover Variance Required: Yes No Date of Council Approval: <br /> N`A' Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: if Resolution: # Resolution Date: <br /> REMARKS (in house): <br />