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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 30 W t L. w '4 1 <br /> PID: <br /> DESCRIPTION OF WORK: Ne-Lo j2 5 <br /> ZONING REVIEW BY: v DATE APPROVED: S--2•az_. <br /> BUILDING REVIEW BY: c DATE APPROVED: -- -7-0Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ' No SEWER CONNECTION <br /> STATE SURCHARGE Yes c- No WA1}..RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes , *". 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 Width Depth <br /> Survey Submitted: Yes gC No Date of Survey: 1-1- I - 02 <br /> Proposed Setbacks: <br /> Front(Lake): £33' ± Right Side: y5' t <br /> Rear(Street): I-701 Left Side: 95' <br /> Adjacent Structures: /V(A Wetland: i i 5 1:- <br /> Building <br /> LBuilding Height: Def. Hgt. Z$' Peak Hgt. 3`' t. <br /> Lot Coverage: N(A <br /> Grading: Staff Approval Date: 5•---)-02 By: cAD' Council Approval Date: <br /> Septic: Staff Approval Date: /1/ By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: -- <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 />