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! CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: gS0 W i .-w w •02 <br /> PII): <br /> DESCRIPTION OF WORK: foo <br /> ZONING REVIEW BY: ,FI I DATE APPROVED: S• 7 - o <br /> BUILDING REVIEW BY:7" j�/f/_ DATE APPROVED: s- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/" No SEWER CONNECTION <br /> STATE SURCHARGE Yes I/ 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ( No Date of Survey: or <br /> Proposed Setbacks: <br /> Exont (Lake): 2501 ± Right Side: Zo.f <br /> Rear(Street): Z,0 Left Side: 0 0 t <br /> Adjacent Structures: 32 Wetland: 26o r <br /> Building Height: Def. Hgt. -- Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # --- Resolution: # Resolution Date: <br /> Shoreland District: y tfj <br /> Avg. Setback: O• GC Bluff Setback: t ( Lot Coverage: /U/(4 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Q .j < <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No O< Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />