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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2q mai p►.n <br /> PID: <br /> DESCRIPTION OF WORK: Pour iNiz <br /> ZONING REVIEW BY: e DATE APPROVED: y- <br /> BUILDING REVIEW BY: DATE APPROVED: y• -o Lf <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 SITEINSPECTION <br /> Number of SAC.Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: Ree- 1!S <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres 2... Width 2.25 Depth <br /> Survey Submitted: Yes No Date of Survey: 2.-ift-t6 5 <br /> Proposed Setbacks: <br /> Front (Lake): 34(b -E Right Side: ci 0• t- <br /> Rear (Street): 0 * Left Side: i 30 • t <br /> Adjacent Structures: 9,0 • Wetland: N//9 <br /> Building Height: Def. Hgt. 1 g.S Peak Hgt. 2 .2:6" <br /> Lot Coverage: N A <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # o4.2'f11,7 Resolution: # git Z Resolution Date: Z-ct• 4y <br /> Shoreland District: Na <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 />