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. J I <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9 S3S W \\ I LU VL <br /> PID: <br /> DESCRIPTION OF WORK: 6 Cc.►G <br /> -------------- <br /> ZONING REVIEW BY: ,R (Qa,..e,,,_ DATE APPROVED: G• G. o s' <br /> BUILDING REVIEW BY: DATE APPROVED: lfl•6• o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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 pc, No Date of Survey: 4-2.42-04( <br /> Proposed Setbacks: <br /> Front (Lake): 1-12.' t Right Side: 11 <br /> Rear (Street): I'- ± Left Side: 113' t <br /> Adjacent Structures: q-r,Ne,c.-1t`� Wetland: LO ' 4 <br /> Building Height: Def. Hgt. fit//04- Peak Hgt. A//'4 <br /> Lot Coverage: pi /4- <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: I ) 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 />