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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S 9 rt.sr <br /> PID: <br /> DESCRIPTION OF WORK: fVA.0 NG CLe •wJ NS w r►.ti <br /> ZONING REVIEW BY: }/(, C DATE APPROVED: /v . Z • <br /> BUILDING REVIEW BY: 0 Iv(0,4 DATE APPROVED: <br /> FEES TO BE CHARGED: G 12(' M sc.FF es Calculated By: <br /> PERMIT Yes c/ 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: E R- ;6 <br /> Fire Department: y1Ms V w-0 Post Office: rw. �v.„p School District: .art 5 Tb <br /> Lot Area: Sq.ft. (.5:4 0 Acres t•S Width Depth <br /> Survey Submitted: Yes D& No Date of Survey: i3 -148 `5`I <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: • <br /> Grading: Staff Approval Date: 'C- 1(- 9 °i By: /0. Council Approval Date: t - - <br /> Septic: Staff Approval Date: /•./(✓•4 By: <br /> Zoning File: # 2 5 Z.. Resolution: # 41641 Resolution Date: l o'%U q S <br /> Shoreland District: l./4 5 <br /> Avg. Setback: I o'er(" Bluff Setback: Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' "Z?•c. 2. 5-1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes is No Date of Council Approval: 4 0-t 1 -c't <br /> REMARKS (in house): <br /> 7 <br />