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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY f 1,T 2 B+.ee4e- <br /> ADDRESS OR LEGAL: Z 0 410 W. 0 9* ,►a gA-A <br /> Pin' 3/-/-//7- z3 -- � � <br /> DESCRIPTION OF WORK: DLA-SE / S/T G /IU <br /> --------------------------------------------- ---- <br /> ZONING REVIEW BY: DATE APPROVED• <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ----------------- ------ - -------------- <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: _ <br /> PERMIT ( ' OYes �/ No <br /> PLAN REVIEW ' '� Yes No L--• SEWER CONNECTION <br /> STATE SURCHARGE Yes No ✓ WATERCONNECTION '— <br /> INVESTIGATION FEE Yes No ✓ PARK FEE -- <br /> SAC Yes No ✓ SITEINSPECTION �— <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: gpy b <br /> Fire Department: L-L Post Office: L- School District: / 444"J 0 <br /> Lot Area: Sq.ft. Acres Width 300 4- Depth �O <br /> Survey Submitted: Yes X No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear.(Street): ONALeft Side: A/04 <br /> Adjacent Structures: I Wetland: _14V A <br /> Building Height: Def. Hgt. Peak Hgt. A <br /> Lot Coverage: AVA <br /> Grading: Staff Approval Date: ;t- 710:;1/0 / By Council Approval Date:J If <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #---� Resolution: # 7 19 Resolution Date: Z A— D� <br /> 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): p <br /> -7 4 .r 1V-1044F �C( <br /> 7 <br />