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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 354. use-s-r c-+4 sr. <br /> PID: <br /> DESCRIPTION OF WORK: New 25 <br /> ZONING REVIEW BY: _ DATE APPROVED: io-tci -oy <br /> BUILDING REVIEW BY: DATE APPROVED: go-I —oy <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 .IPC PA . OTHER (specify) <br /> s--,z.•91 'po-41 <br /> ZONING CHECK LIST Zoning District: G.k-/A <br /> Fire Department: Post Office: School District: <br /> Lot Area: S t. Zgi,DI 1 Acres •Co I 3 Width - ..S@?S Depth <br /> q l �taoc tc <br /> Survey Submitted: Yes pC No Date of Survey: 8 -11• 61 <br /> Proposed Setbacks: <br /> Front(Lake): 11't Right Side: 10 <br /> Rear(Street): 3511•S Left Side: $D <br /> Adjacent Structures: N J P Wetland: <br /> Building Height: Def. Hgt. 30 Peak Hgt. 3 9 <br /> Lot Coverage: qv <br /> Grading: Staff Approval Date: I 0 -''t Cr-( By: Council Approval Date: <br /> Septic: Staff Approval Date: / 14 By: <br /> Zoning File: # 041-3os- Resolution: # 5Z32- Resolution Date: „S1o.''.Z). o y <br /> Shoreland District: •P5 �./ <br /> Avg. Setback: V.k Bluff Setback: "1//- Lot Coverage: 9 "1 <br /> Existing Proposed <br /> Hardcover: 0-75' I•at <br /> 75-250' 3s.3' Z•5‘70 <br /> 250-500' X8.452 lei• I' 7a <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�c Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />