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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i 21 C w ii-Lil'-4-A" L <br /> PID: <br /> DESCRIPTION OF WORK: 6 CCS <br /> ZONING REVIEW BY: DATE APPROVED: C Z. 7- 7 <br /> BUILDING REVIEW BY: fir i DATE APPROVED: U Z 7-y"7 <br /> ----- --------- 4 - ----- <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: 1,; <br /> Fire Department: (vv.),,J4 Post Office: ✓vw .'v) School District: <br /> Lot Area: Sq.ft. 2, I€( Acres ,W to Width t Depth 3.50 <br /> Survey Submitted: Yes aC No Date of Survey: `( " 2 - el 7 <br /> Proposed Setbacks: <br /> Front (Lake): / 2`f 1 Right Side: 6,3 <br /> ' L W <br /> Rear(Street): i S Left Side: 5 5" t <br /> Adjacent Structures: 4-77-4c-it C2 Wetland: A//el <br /> Building Height: Def. Hgt. U lc- Peak Hgt. O IS <br /> Lot Coverage: /UM <br /> Grading: Staff Approval Date: [U ( By: Council Approval Date: <br /> Septic: Staff Approval Date: N ( 4 By: — <br /> Zoning File: # 2 Z 3 7 Resolution: # Resolution Date: <br /> Shoreland District: yes <br /> Avg. Setback: E.,k= Bluff Setback: / Lot Coverage: W(4- <br /> Existing Proposed <br /> Hardcover: 0-75' 5.7-47 ,vjc: <br /> 75-250' y `i•y 7 ti<), <br /> 250-500' Le(i.s 3 lo, 6) <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • <br /> 26 <br />