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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: B 3 0 ( kJ \LL )L .J tEW o iz, <br /> PID: <br /> DESCRIPTION OF WORK: N E tj J (2 5 <br /> ZONING REVIEW BY.• DATE APPROVED: /•2-(1 -o z <br /> BUILDING REVIEW BY:: c, DATE APPROVED: l <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units 2 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Z ± Width I SS Avg- Depth 3.311 + <br /> Survey Submitted: Yes X No Date of Survey: I-10 0 Z <br /> Proposed Setbacks: <br /> Front (Lake): 12_0 Right Side: 3(5.S <br /> Rear (Street): 1'l3 Left Side: 2°1.4,6 <br /> Adjacent Structures: -N 16 Wetland: g$ <br /> i <br /> Building Height: Def. Hgt. 2G 33 Peak Hgt. 3? <br /> Lot Coverage: 0•I(- <br /> Grading: Staff Approval Date: I-2C/-o t By: c -U Council Approval Date: 'T <br /> Septic: Staff Approval Date: N (Y} By: <br /> Zoning File: # — Resolution: # - Resolution Date: — <br /> Shoreland District: l.)D <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 /> 32 <br />