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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ti 0 z "-I-4 W c.sv' <br /> PID: <br /> DESCRIPTION OF WORK: et piA R.,-,v►‘37- - (3 u i l ct I <br /> ZONING REVIEW BY: i DATE APPROVED: Z.-X-C)-c�z- <br /> BUILDING REVIEW BY: �� _ DATE APPROVED: z.• -Q2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes s/- No SEWER CONNECTION d'(.4 77F \\ <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION c)'7, <br /> INVESTIGATION FEE Yes No ./ PARK FEE �_ U,, <br /> SAC Yes — No SITEINSPECTION <br /> Number of SAC Units y q OTHER (specify) <br /> ZONING CHECK LIST Zoning District: et ( P v 6 <br /> Fire Department: L.(,. Post Office: Li— School District: AO& <br /> Lot Area: Sq.ft. r 7 b,q K 4 Acres l - Width i 046-6. O 14'4- Depth <br /> Survey Submitted: Yes )X No Date of Survey: I I. 30- 0 1 <br /> Proposed Setbacks: <br /> Front(Lake): 1►5' Right Side: (v(o•!°t' <br /> Rear (Street): S‘1.19' Left Side: 52..lyr <br /> Adjacent Structures: N (p► Wetland: I SO' f <br /> Building Height: Def. Hgt. Peak Hgt. /40/eavelCo• N w <br /> Lot Coverage: 0-K <br /> 1.4el(012( 1 0 . <br /> Grading: Staff Approval Date: 2- 'Z.0 - m V By: TO," Council Approval Date: - <br /> Septic: Staff Approval Date: N I A By: <br /> Zoning File: # Resolution: # Resolution Date: <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): I Z -`7 - o t - 1L0 v Co <br /> 7 <br />