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-. <br /> • <br /> r <br /> - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 0 o iot•k (2D"4 <br /> PID: <br /> DESCRIPTION OF WORK: e l-E-o scJ <br /> ZONING REVIEW BY: DATE APPROVED: y-2.7-18 <br /> BUILDING REVIEW BY: /d./tAe.,4,-- DATE APPROVED: Y•2 7•FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes C/' No <br /> PLAN REVIEW Yes Ln No SEWER CONNECTION <br /> STATE SURCHARGE Yes t 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: A <br /> Fire Department: W6641-2,4, Post Office: W Mislt School District: Civ01 -/At-rY4- <br /> Lot Area: Sq.ft. -1 0 (4-at Acres 70 Width Depth <br /> Survey Submitted: Yes c( No Date of Survey: /-1 I -' `o <br /> Proposed Setbacks: <br /> Front (Lake): t 00 0 4- Right Side: (000 4 <br /> Rear (Street): (000 ,f Left Side: ( lb 9 <br /> Adjacent Structures: 1000 f- Wetland: /U (f9 <br /> Building Height: Def. Hgt. Q). Peak Hgt. 0%(G <br /> Lot Coverage: 114 <br /> Grading: Staff Approval Date: N By: Council Approval Date: <br /> Septic: Staff Approval Date: /If(4 By: <br /> Zoning File: # Z 3 SZ Resolution: # Resolution Date: <br /> Shoreland District: AI ( <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 />