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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2.550 W o ool-1VtvGN DR <br /> PID: <br /> DESCRIPTION OF WORK: 111't0 i�r i o/J R t eat;L <br /> ZONING RE VIE W BY: - DATE APPROVED: /•b- <br /> BUILDING REVIEW BY: /�� L� DATE APPROVED: l-6 - 65 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes .-- SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sql?. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 90 ± Right Side: 5- <br /> Rear(Street): 3oo` t Left Side: ( <br /> Adjacent Structres: - Wetland: <br /> Building Height: Def Hgt. Peak Hgt. -- <br /> Lot Coverage: tJ (v4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # ` Resolution: # Resolution Date: <br /> Shoreland District: N-b <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-150' <br /> 150-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />