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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: 2_0 s 5 w e."148c2,2 14- c...L.s ILo AA-0 <br /> PID: <br /> DESCRIPTION OF WORK: Q L-CR,., <br /> ZONING REVIEW BY: cts ))4 � .w.�-- DATE APPROVED: c9 • Z6 "D 2- <br /> BUILDING REVIEW BY: 04!CPQ•.. DATE APPROVED: -Z`- 02 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No L.-- PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: • -9(o <br /> Proposed Setbacks: <br /> Front(Lake): ( '1' t _ Right Side: 51' :4-- <br /> Rear <br /> Rear(Street): (222 } Left Side: C 2' ± <br /> Adjacent Structures: fl-rnac-t+�� Wetland: N t yg <br /> Building Height: Def. Hgt. A'(4- Peak Hgt. A/(ea <br /> Lot Coverage: c! 'lL <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: A) <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 />