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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z1(O CO-c ka_ <br /> PID: <br /> DESCRIPTION OF WORK: A 0 p ,- L o f.S <br /> ZONING REVIEW BY: " DATE APPROVED: //- z9 - <br /> BUILDING REVIEW BY-7% DATE APPROVED: if. zq <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,— No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WAtRCONNECTION <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: Pa-id <br /> Fire Department: Lontq L6,-1 x Post Office: C,p^5 (A-k-A?" School District: - '0 <br /> Lot Area: Sq.ft. ,lrO C/- �C Acres v Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: 6, -Zt " 5 <br /> Proposed Setbacks: _ <br /> Front(Lake): 5 S Right Side: 7 S <br /> Rear (Street): 1t8S- Left Side: `46 <br /> Adjacent Structures: (0` Wetland: f\J/i4 <br /> Building Height: Def. Hgt. e9, (Q- Peak Hgt. — <br /> Lot Coverage: /NS' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: _ By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: J <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 />