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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `r'' '` <br /> PID: <br /> DESCRIPTION OF WORK: - <br /> ZONING REVIEW BY: w DATE APPROVED: q- 2 3 Y 7 <br /> BUILDING REVIEW BY: (� . � „ DATE APPROVED: ci -Z3 `-r 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No ;l PARK FEE <br /> SAC Yes No f/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: h.` i C) <br /> Fire Department: (._)—Nc) Lite..t. Post Office: (Z/1/4.4.:,(..Aia2.. School District: <br /> Lot Area: Sq.ft. ,tip C rf�+rct Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: 5-2 - `l C <br /> Proposed Setbacks: <br /> Front (Lake): + Right Side: l St� <br /> Rear (Street): 15 7 ± Left Side: 4-e <br /> Adjacent Structures: 3-S1 7= S5 Wetland: A-,/A- <br /> Building Height: Def. Hgt. I S Peak Hgt. Z I <br /> Lot Coverage: '(0 <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: 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 /> 26 <br />