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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zoo w esT• w AYE TVA 4t.v 0 <br /> PID: <br /> DESCRIPTION OF WORK: Adco,rioa-i //LEWtOnct..- <br /> ZONING REVIEW BY: •� DATE APPROVED: !� 10 - 4 -0 14 <br /> - <br /> BUILDING REVIEW BY: DATE APPROVED: (0 -`t - °I <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t..--" No WATER CONNECTION <br /> INVESTIGATION FEE • Yes No PARK FEE <br /> SAC Yes No )SSITEINSPECTION <br /> Number of SAC Units TD ae /.�E7E2w",..e _OTHER (s ecify) <br /> ZONL�iG CHECK LIST Zoning District: (Zg-•% 3' �� �� <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres /55 Width 1 tO 001 t Depth <br /> Survey Submitted: Yes p! No Date of Survey: K- •c`{ <br /> Proposed Setbacks: <br /> Front(Lake): 3`t0' t Right Side: /`10 0 i <br /> Rear (Street): Clo 6 1 Left Side: a o -- <br /> A <br /> Adjacent Structures: SDI Wetland: /`//$ <br /> Building Height: Def. Hgt. ///c Peak Hgt. — <br /> Lot Coverage: N/A <br /> Grading: Staff Approval Date: N IA By: Council Approval Date: <br /> Septic: Staff Approval Date: A///4 By: <br /> Zoning File: # O'(-300D Resolution: # Resolution Date: Y. •o l <br /> Shoreland District: A!0 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> 0 <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 />