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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( S <br /> PID: <br /> DESCRIPTION OF WORK: N E.U.S <br /> ZONING REVIEW BY: P DATE APPROVED: 2- 1 L( - 0 I <br /> BUILDING REVIEW BY: 01§ i DATE APPROVED: 2- \- - 0 I <br /> � - — <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes L.V. No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes pc, No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (Z R <br /> Fire Department: (,OW (MCA:: Post Office: L.oNc, k.J4,cC-�, School District: O I'Zp/V <br /> Lot Area: Sq.ft.`{3,193 Acres 1- t Width Z 3 2_71 Av-e Depth 1 0 5.31 A ue <br /> Survey Submitted: Yes c No Date of Survey: a- 'Z--v <br /> Proposed Setbacks: <br /> Front (Lake): 15 Right Side: 125 . <br /> Rear (Street): 35' Left Side: 31.15 <br /> Adjacent Structures: n((1/}- Wetland: [1I (A <br /> Building Height: Def. Hgt. Z0 i Peak Hgt. 3`-r• 5' <br /> Lot Coverage: 0*K <br /> Grading: Staff Approval Date: - I'-1 - n ' By: GP 0. Council Approval Date: <br /> Septic: Staff Approval Date: ,if /A By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /V O <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 /> 27 <br />