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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: EMO U )I yU 10 pri/vvYv Z <br /> PID: <br /> DESCRIPTION OF WORK: A-A0107pA/MC'Y0-v4 <br /> ZONING REVIEW BY: DATE APPROVED: -/_2 6 -al <br /> BUILDING REVIEW BY: LaDATE APPROVED: y-2.4,-c)( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes L— No 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: L-R.-1(3 <br /> Fire Department: y v eu✓) Post Office: AW v(AAA School District: LA) es AIM <br /> Lot Area: Sq.ft. L{3, 13`1 Acres • `l °l Width R(1.C-6‘.)(-4.2 Depth <br /> Survey Submitted: Yes X No Date of Survey: Z-°7-0 I <br /> Proposed Setbacks: <br /> Front (Lake): 150` Right Side: 2 • <br /> Rear (Street): 60 Left Side: lct• 1 <br /> Adjacent Structures: Al I Wetland: Ii1 119 <br /> Building Height: Def. Hgt. 20 ' Peak Hgt. i3' <br /> Lot Coverage: O.V. <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: A) I By: <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: i e5 <br /> Avg. Setback: 0.1c Bluff Setback: Al IA Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' p o <br /> 75-250' t b .553 Z5 <br /> 250-500' to.29 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />