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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: o 2_0C y Z-.4-0)11- of3C,V d <br /> PID: <br /> DESCRIPTION OF WORK: /444,nac-0 <br /> ZONING REVIEW BY: DATE APPROVED: /o-S-o Y <br /> BUILDING REVIEW B :),9 _ DATE APPROVED: t o -6 -6i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes I/. No <br /> PLAN REVIEW Yes i- No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: ,le-/B <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width /coo 0 Depth <br /> Survey Submitted: Yes DC No Date of Survey: r),..r- pat 6 .i o •of f <br /> Proposed Setbacks: <br /> Front (Lake): td OP -4- Right Side: C v c-c 1-1^-, Sb <br /> Rear (Street): 0 • Left Side: 0„41, <br /> Adjacent Structures: - Wetland: -- <br /> Building Height: Def. Hgt. 0 . k. Peak Hgt. <br /> Lot Coverage: AJ I /1 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # --of-3 0 3 7 Resolution: # Resolution Date: 6'2 3- 0Y <br /> Shoreland District: N c7 <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 /> • <br /> 32 <br />