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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 5'0 c.,.-)E A R. (_.ANG s OLTt-1 <br /> PID: <br /> DESCRIPTION OF WORK: 0 ECK. <br /> ZONING REVIEW BY: � 1)- -- DATE APPROVED: S- z 5 5 <br /> BUILDING REVIEW BY: cc,b., - DATE APPROVED: c -Z Z 5 i3 <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y::s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (.2-is <br /> Fire Department: L .L. Post Office: L ( . School District: 0 ft--0 N 0 <br /> Lot Area: Sq.ft. uo chowd.e Acres — Width — Depth — <br /> Survey Submitted: Yes No Date of Survey: S-21-01 <br /> Proposed Setbacks: <br /> Front (Lake): ($351 + Right Side: 70 <br /> Rear (Street): 1(50' + Left Side: GS` <br /> Adjacent Structures: Arn,c ii o Wetland: N 4 A <br /> Building Height: Def. Hgt. 1.1 Peak Hgt. — <br /> Lot Coverage: 0.4` <br /> Grading: Staff Approval Date: /V I A- By: Council Approval Date: <br /> Septic: Staff Approval Date: 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): <br /> • <br /> 26 <br />