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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE US ONLY <br /> ADDRESS OR LEGAL: C . : �:,.j, t./fi Q PID: <br /> DESCRIPTION OF WORK: , •c, A911'-43 <br /> ZOtiLNG REVIEW BY: C2-44e°~- <br /> DATE APPROVED: (0 y - ti s <br /> BUILDLNG REVIEW BY: DATE APPROVED: Ai Id <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 Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONLNG CHECK LIST Zoning District: t:-/! .t /3 Shoreland District : '- <br /> Fire Department: ;'Post O e: / , 'cho Distniet <br /> Lot Area: Sq.ft. 6,0 O Air -cres 1.3 ? Depth <br /> Now— <br /> Survey Submitted: Yes No Date of Survey: 7- <br /> Proposed Setbacks: <br /> Fr-em (Lake): 2-'1' Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' s�� 1` g•s `7c <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes & No Date of Council Approval: e it(-c <br /> Grading.: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # '2,cH O Resolution: # Resolution Date: Qi i V y� <br /> REMARKS (in house): <br /> 26 <br />