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s <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 10 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: Z <br /> BUILDING REVIEW BY: �/,,��' DATE APPROVED: -z 2 v z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes t.-- 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 /> --------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: I?P--16 <br /> Fire Department: Post Office: School District: C5 A-0 nr-o <br /> Lot Area: Sq.ft. i 10,1Lsv Acres Z • 5 Z Width 3r. "? Depth 100 <br /> Survey Submitted: Yes oe- No Date of Survey: ci• 2 i • 7 <br /> Proposed Setbacks: <br /> Front(Lake): &3 - Right Side: <br /> Rear(Stroet)- Z 6 2 t Left Side: 2 3 0 <br /> Adjacent Structures: Wetland: N 1.4 <br /> Building Height: Def. Hgt. t9. IC, Peak Hgt. <br /> Lot Coverage: 0-k <br /> Grading: Staff Approval Date: Al 1,4 By: Council Approval Date: <br /> Septic: Staff Approval Date: PeywAt✓b By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Iv,) <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): S-ee (..,tte, <br /> 7 <br />