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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( Zo w I4 u.S <br /> PID: <br /> DESCRIPTION OF WORK: Po o N a x ST,Ar` C c+c.1c <br /> ZONING REVIEW BY: 4j�, DATE APPROVED: 5--Le -cfs <br /> BUILDING REVIEW BY: b I p(Q�,,, DATE APPROVED: s�-Jam, -y$ <br /> FEES TO BE CHARGED: �" Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes ( No SEWER CONNECTION <br /> STATE SURCHARGE Yes r - No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 4R - <br /> Fire Department: t. .L _ Post Office: C-( - School District: OlAO,Ja <br /> Lot Area: Sq.ft. Aro C Acres Width Depth <br /> Survey Submitted: Yes 0 No Date of Survey: coo-$ 1=1 Z. <br /> Proposed Setbacks: <br /> Front (Lake): � Right Side: (L° 4.3 <br /> Rear (Street): /7 0 t Left Side: y S <br /> Adjacent Structures: irrrAC-tfe-0 Wetland: N/" <br /> Building Height: Def. Hgt. 0-lc Peak Hgt. <br /> LGradLot Coverage: 6 1<- <br /> Grading: <br /> ing: Staff Approval Date: 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 /> 26 <br />