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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: i v tJ i w ,H v/i-s r 1--(1 A <br /> PID: <br /> DESCRIPTION OF WORK: (v <br /> ZONING REVIEW BY: ,c-s:RC ----�- DATE APPROVED: q• Z -65 <br /> BUILDING REVIEW BY: _ DATE APPROVED: S• 2 -oS <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1/ 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 v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> 41.0iN`-� 3372 i o• 27.7 7— <br /> ZONENG CHECK LIST Zoning District: Ut-1� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. 3 7,3 ti) Acres .$(o Width t 0 c Depth <br /> Survey Submitted: Yes e� No Date of Survey: 5- S-0 S <br /> Proposed Setbacks: <br /> Front (Lake): (L.? Right Side: (C• ? <br /> Rear (Stteee): 13 t. Left Side: 10 <br /> Adjacent Structures: 41.4 Wetland: N(ft <br /> Building Height: Def. Hgt. Peak Hgt. 3S <br /> Lot Coverage: 9. C70 <br /> Grading: Staff Approval Date: 9•Z -0S— By 'J C-Council Approval Date: <br /> Septic: Staff Approval Date: /V (#i By: <br /> Zoning File: # 05-31 L Z Resolution: # Resolution Date: 1 - i 1. O <br /> Shoreland District: yes <br /> Avg. Setback:/ N t A Bluff Setback: Lot Coverage: `)•$ `l6 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' i t. <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br />