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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1005 IA),(lot.. ' V t c_ ' <br /> PID: <br /> DESCRIPTION OF WORK: ivew POM E <br /> ZONING REVIEW BY: K 0 DATE APPROVED: t-2.b—bS <br /> BUILDING REVIEW BY: I-P / I DATE APPROVED: ( • _ —o5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN RE VIEW Yes ✓ 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 1 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres 2-.31 Width Depth <br /> Survey Submitted: Yes�[ No Date of Survey: /-5-0S <br /> Proposed Setbacks: <br /> Front(Lake): 303 Right Side: BS 6Z <br /> Rear(Street): 46-S-11 t Left Side: 7S•S <br /> Adjacent Structures: Ai/.A Wetland: <br /> Building Height: Def Hgt. 3C. Peak!fgt. 3 g <br /> Lot Coverage: /V/A <br /> Grading: Staff Approval Date: /- 2.O - 05 By: Q V Council Approval Date: '- <br /> Septic: <br /> Septic: StaffApp•oval Date: ,"(A- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /U J <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 /> 31 <br />