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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: lel 3 W L.ST FA R "V\ S? vacn <br /> PID: <br /> DESCRIPTION OF WORK: h{ t=193ON Poe-c-l-t <br /> ZONING REVIEW BY: NeiDATE APPROVED: y- <br /> /i! <br /> BUILDING REVIEW BY: /ts ,,� DATE APPROVED: y- -S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT 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 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: U2.- /A <br /> Fire Department: CoN 4, (A►tet: Post Office: (.p/v6 CA(c e, School District: p..-43N U <br /> Lot Area: Sq.ft. W o a(-fqNo e Acres Width — Depth — <br /> Survey Submitted: Yes . No Date of Survey: (et Sa Cp ry c 11,1;) <br /> Proposed Setbacks: <br /> Front (Lake): IOSI + Right Side: 1(00 t <br /> Rear (Street): (3S' t Left Side: 2-I <br /> Adjacent Structures: AT- c.-1-1 O Wetland: N Ps <br /> Building Height: Def. Hgt. O. Peak Hgt. — <br /> Lot Coverage: /0 (A <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /V � <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 />