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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2,1`( . OAK. C. <br /> PID: <br /> DESCRIPTION OF WORK: c_ArrilAi 4r Q t .77 cJn 1 <br /> ZONING REVIEW BY: .•�� DATE APPROVED: 0 = 2 2-o o <br /> BUILDING REVIEW BY: DATE APPROVED: L2 -vim <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No <br /> PLAN REVIEW Yes — 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: (L( • ( (j <br /> Fire Department: (,o (a-(cz Post Office: 1.4),..._5(A-1,ce School District: "- <br /> Lot Area: Sq.ft. wo C(f-r+wy( Acres Width Depth <br /> Survey Submitted: Yes p( No Date of Survey: on' A(1 8 -I(-7 g <br /> Proposed Setbacks: <br /> Front (Lake): <br /> 93 I Right Side: SS <br /> Rear (Street): /-20 Left Side: Z1,0 <br /> Adjacent Structures: 13-7T74c44-e‘49 Wetland: Al/( <br /> Building Height: Def. Hgt. N /A-- Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: "JO <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 />