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f <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1ILA S W 1 t..L-0 w ♦Q 2 <br /> PID: <br /> DESCRIPTION OF WORK: S I-t-L) <br /> ZONING REVIEW BY: I __,� DATE APPROVED: /0_/2-� 7 <br /> BUILDING REVIEW BY: AWS7a _ _ DATE APPROVED: / v— r 2-ci S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c ' No <br /> PLAN REVIEW Yes 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: l22- 1 6 <br /> Fire Department: (A, 64,/ -," Post Office: „,,O (A-(442: School District: (9/j�-n�0 <br /> Lot Area: Sq.ft. ,v ) C144,4ijL Acres (�Width Depth <br /> Survey Submitted: Yes No p` Date of Survey: f ��z TLoti <br /> Proposed Setbacks: <br /> Front(Lake): !l901 4 Right Side: 1°7 t <br /> Rear (Street): 2-bt 'L Left Side: 1 9.0' t <br /> Adjacent Structures: `ZO c Wetland: ,-)(pd-- <br /> Building Height: Def. Hgt. Q./� 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 /> N I Avg. Setback: Bluff Setback: <br /> Existing Lot Coverage: <br /> 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 />