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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z'-t ,e.-; F.A.:t-1 c c <br /> PID: <br /> DESCRIPTION OF WORK: Q E ►G(k- rJ aqoat f2(a cc <br /> ZONING REVIEW BY: 1 w+o, DATE APPROVED: -j( Ci r <br /> BUILDING REVIEW BY: • ; DATE APPROVED: i Z-/' 9� <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 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: fP- -�(�� <br /> Fire Department: -" 1 (4 Post Office: +-ki LAI-sl.t= School District: v1:.c)Nc.; <br /> Lot Area: Sq.ftl 2;,t$2.e Acres '2.4 P 3 Width Z 1S' 1/4.3E Depth 5/2`I.3 <br /> Survey Submitted: Yes > No Date of Survey: I Z <br /> Proposed Setbacks: <br /> Front (Lake): S S ='= Right Side: i t 0 ;' (= <br /> Rear (Street): i ti`+• ( Left Side: 24371 ' w <br /> Adjacent Structures: Wetland: iv(4 <br /> Building Height: Def. Hgt. 17. Z.5" Peak Hgt. t`'1•.0 <br /> Lot Coverage: N <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> • Avg. Setback: Bluff Setback: <br /> �' Existing Proposed <br /> _ <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 /> 10 <br />