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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: SLS cAr'e <br /> PID: <br /> DESCRIPTION OF WORK: Rts -e 6e k <br /> ZONING REVIEW BY: - DATE APPROVED: 6-23-of <br /> BUILDING REVIEW BY: AAP? DATE APPROVED: (, -Z?-a5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (/ No <br /> PLAN REVIEW Yes /7'4No SEWER CONNECTION <br /> STATE SURCHARGE Yes ENo WATER CONNECTION <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 0( No Date of Survey: /1-2.6 -10 <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): 36 ` Right Side: �U <br /> Rear (Street): / `9d Left Side: (oc� <br /> Adjacent Structures: 10 Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Lot Coverage: o '<- <br /> Grading: Staff Approval Date: ,j(4 By: Council Approval Date: <br /> Septic: Staff Approval Date: AJ(r4 By: <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: y-r5 <br /> Avg. Setback: ti/4- 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 p. Date of Council Approval: <br /> REMARKS (in house): <br />