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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4 l bU Lo cs, GR."NIC C2-t)1/44.4 <br /> PID: <br /> DESCRIPTION OF WORK: N a-> c 5 <br /> ZONING REVIEW BY: ,P(p DATE APPROVED: 7 31; o z <br /> BUILDING REVIEW BY: U 4 DATE APPROVED: -7, 30 C,. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiMIT Yes — No <br /> PLAN REVIEW Yes , - No SEWER CONNECTION <br /> STATE SURCHARGE Yes i,--- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No — SITEINSPECTION <br /> Number of SAC-Units L; T,L Rnxis. 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 (4 No Date of Survey: 1-2'l 4-2_ <br /> hMq G AMS <br /> Proposed Setbacks: t-la) 1 2 141.1,fr z <br /> Front(Lake): t z.5 z 1 o .L6o Right Side: SZ-7 -b2-5 <br /> Rear(Street): y4? 36a 3z.0 Left Side: 2.10 II 3 O <br /> Adjacent Structures: Rei, rbk t Wetland: s to Y--c. 114.)-,r <br /> (-Gq.A..-5,15 p'-u 204-4' <br /> Building Height: Def. Hgt. 2_9 Peak Hgt. 73. 5 <br /> Lot Coverage: N(A <br /> Grading: Staff Approval Date: -i - 3c:'r c 2_ By: /c. Council Approval Date: — <br /> Septic: Staff Approval Date: l - 3 0 - 2 By: pi. 6. <br /> Zoning File: # - Resolution: # — Resolution Date: <br /> Shoreland District: /V 0 <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 />