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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 S U +L-C.-t. lC)R- <br /> PM: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: �J DATE APPROVED: q . t <br /> BUILDING REVIEW BY: c:Pfi DATE APPROVED: -1 l6 -n a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA thR CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes ✓ No S1IEINSPECTION <br /> Number of SAC.Units L. OTHER (specify) <br /> ZONING CHECK LIST Zoning District: A(2-1 6 <br /> Fire Department: OD NJ&UktC.€ Post Office: LONG (}-(CA- School District: 0(N-4D tiA•D <br /> Lot Area: Sq.ft. 40,01 '� Acres • 1 t Width c37 11 Depth 2Z-2-.065 <br /> Survey Submitted: Yes of No Date of Survey: $- 25 `90 <br /> Proposed Setbacks <br /> Front(Lake): "7 15 Right Side: 41 <br /> Rear (Street): 00 Left Side: 63 <br /> Adjacent Structures: (U (v- Wetland: /\-1 �4 <br /> Building Height: Def. Hgt. 30 Peak Hgt. 3 <br /> Lot Coverage: 0• k <br /> Grading: Staff Approval Date: ci - I9 - vv By: r-• 0 . Council Approval Date: — <br /> Septic: Staff Approval Date: iv l By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: (•v <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 />