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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z i b v w A-y-vt11-14 a L U <br /> PID: <br /> DESCRIPTION OF WORK: •1 d N es,Co <br /> ZONING REVIEW BY: 461,7 CO,4, DATE APPROVED: 3 ..Z-Z -vo <br /> BLTLDLNG REVIEW BY: Nc.1- DATE APPROVED.: <br /> -------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WAt RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONI G CHECK LIST Zoning District: g-1 <br /> Fire Department: 1,0•416 IA tc t Post Office: (,o/..ito t. tc-c School District: O(t-oni <br /> Lot Area: Sq.ft. Nu C/tivvve,Q Acres Width Depth <br /> Survey Submitted: Yes No .L Date of Survey: <br /> Proposed Setbacks: C— Right <br /> Cns� <br /> Front(Lake): '( fr Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: • <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 2530 Resolution: # Resolution Date: <br /> Shoreland District: N u <br /> Avg. Setback: Bluff Setb ck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> RENL4RKS (in house): <br /> 7 <br />