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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: q'?10 Com.,t(o ,•: ,O/L _-5o, 77-+ <br /> PID: 63 • 117-23 32- 00(( <br /> DESCRIPTION OF WORK: A00(-rlyr-f <br /> -----«-_--- <br /> ZONING REVIEW BY: - -- � DATE APPROVED: ~-7-f 6-- --- <br /> 7 <br /> BUILDING REVIEW BY: 0 DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓` No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATERCONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ____ __------------------------ _ ------------------------------------- <br /> ZONING CHECK LIST Zoning District: r <br /> Fire Department: v^ Post Office: - School District: C)/l e^jD <br /> Lot Area: Sq.ft. 3y,1 A Y Acres = 7 Width Depth <br /> Survey Submitted: Yes . No Date of Survey: -Z/ -'7�$ <br /> Proposed Setbacks: <br /> Front (Lake): Z►s Right Side: Z9.L <br /> Rear (Street): 11`b% - Left Side: .Zb , <br /> Adjacent Structures: 47779 M-CVP Wetland: N 03- <br /> Building <br /> 3Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: ' K- <br /> Grading: Staff Approval Date: N'F/t By: Council Approval Date: <br /> Septic: Staff Approval Date: N (A- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Dist.-ict: NLI) <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 /> 26 <br />