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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: W►I I o w A\jc S <br /> PID: <br /> DESCRIPTION OF WORK: gopp, n oos <br /> ----------------------------------------- - --- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 3. 3- 9 ) <br /> BUILDING REVIEW BY: DATE APPROVED: 3 -3. 5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t-� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes c,.- No WATERCONNECTION <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: R R• lb <br /> Fire Department: LoN I Post Office: CM446 School District: C-�Aoko <br /> Lot Area: Sq.ft. Ib-fo`t Acnes Acres ((p•b`( Width — Depth -22h <br /> Survey Submitted: Yes A No Date of Survey: 2'L4"cl 7 <br /> Proposed Setbacks: <br /> Front (Lake): ZC6 Right Side: S`y N <br /> Rear(Street): 4100, = Left Side: 3LO1 S <br /> Adjacent Structures: Wetland: Aff14 <br /> Building Height: Def. Hgt. O- k- Peak Hgt. Q. K <br /> Lot Coverage: NIA <br /> Grading: Staff Approval Date: Al l!4- By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> NPExisting 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): <br /> 10 <br />