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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9(p W i LC owv(Cw <br /> PID: <br /> DESCRIPTION OF WORK: N E. <br /> ZONING REVIEW BY: I DATE APPROVED: 3 30 -°Y <br /> BUILDING REVIEW BY: air c, S DATE APPROVED: 3 -330-oaf <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L/ No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes v/ No WATER ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes r/ No •" SITEINSPECTION <br /> Number of SAC-Units 1 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres /.7 3 Width Depth <br /> Survey Submitted: Yes X No Date of Survey: 2-Zy <br /> Proposed Setbacks: <br /> Front(Lake): 23S '± Right Side: -1-)°14 <br /> Rear(Street): (0 6.4 6 Left Side: 5 <br /> Adjacent Structures: N 1 A Wetland: 36 ± <br /> Building Height: Def. Hgt. 27.> Peak Hgt. 3y ' <br /> Lot Coverage: 01(... <br /> Grading: Staff Approval Date: 3 3t• b 4 By: 0,-4 , Council Approval Date: <br /> Septic: Staff Approval Date: N I A By: <br /> Zoning File: # — Resolution: # -- _ Resolution Date: <br /> Shoreland District: N 0 <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 />