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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR O±HHCE USE ONLY <br /> ADDRESS OR LEGAL: 9 00 w \. Oa\ s° <br /> PID: <br /> DESCRIPTION OF WORK: //Poo l <br /> ZONING REVIEW BY: C(-n- DATE APPROVED: r - 27 - 01 <br /> BUILDING REVIEW BY: , ' C DATE APPROVED: t-r- 2 7 - in( <br /> FEES TO BE CHARGED: ltiiisc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes i/ No SEWER CONNEC:11ON <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 CNF'CK LIST Zoning District: 2 g- la <br /> • <br /> Fire Department: LoisU( Post Office: (�b¢fGe School District: OcZON 0 • <br /> Lot Area: Sq.ft. No G,wiary{ Acres • Width Depth <br /> Survey Submitted: Yes vC No Date of Survey: 7/4 -(te <br /> Proposed Setbacks: t Z n <br /> Front(Lake): ' Right Side: 40 115 <br /> Rear (Street): MP Z°to' Left Side: 1 ( 3 S'f <br /> Adjacent Structures: 2 s( Wetland: <br /> Building Height: Def. Hgt. N /✓J- Peak Hgt. — <br /> Lot Coverage: Of g <br /> Grading: Staff Approval Date: ---- By: Council Approval Date: <br /> Septic: Staff Approval Date: 5 -ROI By: pA.e. • <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: N <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): <br /> 7 <br />