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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 91 WA ki-7,4-7YA <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: �I DATE APPROVED: 7 <br /> BUILDING REVIEW BY: /1'!t� ,/<< DATE APPROVED: -7 . 2A •4c•7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes c✓ 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: R 1 <br /> ri <br /> Fire Department: Low, LAt Post Office: ti.v.st, School District: 0(14: <br /> Lot Area: Sq.ft. o C id .c�,c Acres Width -- Depth — <br /> Survey Submitted: Yes c< No Date of Survey: Y-! -9'a <br /> Proposed Setbacks: S x 9 c$ <br /> Front(Lake): 22.19 Zc,c.9 Right Side: Z. <br /> Rear (Street): 3g5 (415` Left Side: 30G r0 <br /> Adjacent Structures: A T om{- Wetland: 90 ' <br /> Building Height: Def. Hgt. /V //4 Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> fsr.41 <br /> J• Shoreland District: <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 />