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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: R 5 o W[tst o w V t lsw og <br /> PID: <br /> DESCRIPTION OF WORK: N tr us (Z4=S <br /> ZONING REVIEW BY: _•! S DATE APPROVED: 7 - I -O <br /> BUILDING REVIEW BY: A�!; / DATE APPROVED: -1 t <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 t/ No WALER ER 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: /2.g.- I(3 <br /> Fire Department: Lo N3L5(h((X' Post Office: CoN 6 (Mets School District: b(7--bN O <br /> Lot Area: Sq.ft. 50,52.5,t, Acres I. t to Width (1,7• S A0-° Depth 301.5 <br /> Survey Submitted: Yes p( No Date of Survey: 4- 1.1,0A <br /> Proposed Setbacks: <br /> Front(Lake): Li6 4. Right Side: Z <br /> Rear (Street): Ict°I Left Side: 3c <br /> Adjacent Structures: N hi Wetland: MO' <br /> Building Height: Def. Hgt. 2°1. S Peak Hgt. 5- <br /> Lot <br /> Lot Coverage: 0.14. <br /> Grading: Staff Approval Date: 1-16 By: /"- Council Approval Date: — <br /> Septic: Staff Approval Date: N /i4 By: <br /> Zoning File: # /J/' Resolution: # Resolution Date: <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 />