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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l 000 L.S 1 c JJ I-t o(z s T -r <br /> PID: <br /> DESCRIPTION OF WORK: CAA/o-------/_��Ln z4 7-7 r•-) <br /> ZONING REVIEW BY: C DATE APPROVED: 6 • 5 •BUILDING REVIEW BY: ON i4 DATE APPROVED: <br /> FEES TO BE CHARGED: 6n4'"l `-'i Misc. Fes Calculated By: <br /> PERMIT Yes ,i No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA1'ERCONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Pr-eat(Lake): TS �' Right Side: /0` f <br /> Rear(Street): Left Side: (0 ` {- <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: (0- > - D a By: d•p. Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: yes <br /> Avg. Setback: ^/4A Bluff Setback: N/.4- Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' .8 <br /> 75-250' 24.9 K <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />