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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -(0 w CA,Z tskn/tr, N <br /> PID: <br /> DESCRIPTION OF WORK: Lt s J.:Liro•-) r <br /> ZONING REVIEW BY: 41< DATE APPROVED: 4/ -/3 •00 <br /> BUILDING REVIEW BY: v ! DATE APPROVED: y- 3 -rx <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/' No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ' 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: 42-/!3 <br /> Fire Department: LoAn(4,164; Post Office: 5 (A 1(.T School District: 0/1.0.4.10 <br /> Lot Area: Sq.ft. G1-rn✓b.4_ Acres Width Depth <br /> Survey Submitted: Yes 04- No Date of Survey: 0,-4 <br /> Proposed Setbacks: <br /> Front (Lake): I 0 y Right Side: /36 t <br /> Rear(Street): 9 2-Left Side: /G 7 - <br /> Adjacent Structures: A-7714-C f ✓ Wetland: //1- <br /> Building Height: Def. Hgt. (9•IC Peak Hgt. C7. <br /> Lot Coverage: Al/A <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Date: Y-/3 - By: C. r 4'4 At j'y,-- <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /V O <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 />