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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t305 L t L.L.o.•s yr cw <br /> PID: <br /> DESCRIPTION OF WORK: Ooo <br /> ZONING REVIEW BY: d DATE APPROVED: i- r -vz. <br /> BUILDING REVIEW BY: e,(,(�. DATE APPROVED: 5-- /) -01-- <br /> FEES <br /> ZFEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v' No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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 b[. No Date of Survey: 5-3 - o <br /> Proposed Setbacks: <br /> Front(Lake): 131 ' t Right Side: /yd <br /> Rear (Street): 50 t Left Side: 2 " <br /> Adjacent Structures: Wetland: 20` <br /> uilding Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: —Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � <br /> Zoning File: # Resolution: # Resolution Date: <br /> ( <br /> 1 '� <br /> Shoreland District: <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 />