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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (1-1 11 v)t 1.1 o i Oa-.SO <br /> PID: <br /> DESCRIPTION OF WORK: G ? G3C7 <br /> ZONING REVIEW BY: c&& �'," - DATE APPROVED: i- Z g <br /> BUILDING REVIEW BY• 4 ( _ DATE APPROVED: z-S. <br /> FEES TO BE CHARGED: • Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WAthRCONNECTION <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: M-•1 a — — — <br /> Fire Department: Longs (.& Post Office: (A N G• (A(C,1- School District: 0 r"�-. n o • <br /> Lot Area: Sq.ft. 21,(acpci Acres . 4`) Width (coo Depth ZIta. `( <br /> Survey Submitted: Yes ,2C, No - Date of Survey: t 0 7.- s-( <br /> Proposed Setbacks: <br /> Front (Lake): SO' Right Side: Z6 <br /> Rear(Street): d` . Left Side: �S <br /> Adjacent Structures: ZS` Wetland: /J/4 <br /> Building Height: Def. Hgt. g 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: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> \1,� <br /> 1" 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 /> • Y <br /> REMARKS (in house): <br /> z • <br /> .26 <br />