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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4 030 LAP <br /> PID: <br /> DESCRIPTION OF WORK: sc/IEN tov.t.u-/ a•✓ ex ist it 6 ®e cat- U. 'c< <br /> ZONING REVIEW BY: DATE APPROVED: /0. 3o-o2 <br /> BUILDING REVIEW BY: (Q4,,, ___ DATE APPROVED: 10. 3 a• oz._ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes k' No SEWER CONNECTION <br /> STATE SURCHARGE Yes v' No WAl'ERCONNECTION <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 ,4 No Date of Survey: `{-15.02 <br /> Proposed Setbacks: <br /> Front(Lake): 13 Right Side: (h' <br /> Rear (Street): 110 Left Side: 131 <br /> Adjacent Structures: A,-rn.c.w t O Wetland: 2...o'+ <br /> Building Height: Def. Hgt. 0 .1c. Peak Hgt. 0.k <br /> Lot Coverage: /v/A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V d <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 />