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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2Z 1 S L c=Qc3E R t u_s �C <br /> PID: <br /> DESCRIPTION OF WORK: A/J Q i z <br /> ZONING REVIEW BY: � DATE APPROVED: - y -S d <br /> BUILDING REVIEW BY: U 624 4,, DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Yes L- 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: RR.- (2 <br /> Fire Department: (,,Oiu(o(AK-�% Post Office: (,)Cyu kA,,4(c..T School District: Q(ao 0 <br /> Lot Area: Sq.ft. do c.f.i.-pent Acres -- Width — Depth — <br /> Survey Submitted: Yes oC No Date of Survey: Om (e r Zi , SO <br /> Proposed Setbacks: <br /> Front (Lake): 4 3t f Right Side: 3g 4 <br /> Rear (S/feet): ISI L� Left Side: 7lo ± <br /> Adjacent Structures: 191-7 Glft:1'3 Wetland: /V (/4- <br /> Building Height: Def. Hgt. N (J4 Peak Hgt. — <br /> Lot Coverage: 0,�L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> eeShoreland District: <br /> (P, 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 /> L <br /> REMARKS (in house): <br /> 7 <br />