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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR O1-"r10E USE ONLY <br /> • <br /> ADDRESS OR LEGAL: zoo ? °)�� <br /> PID: <br /> DESCRIPTION OF WORK: AtofJ ► n o QARK) <br /> ZONING REVIEW BY: <br /> 6 l , DATE APPROVED: t-/- 2 S -tel <br /> BUILDING REVIEW BY: / . � ('f2,4„ DATE APPROVED: `•t- 2 3 -o t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes t/• 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 CT-WCK LIST Zoning District: ) <br /> Fire Department: AiA,/-Ai Post Office: t../Ay-TA-:Y1- School District: O/2oAJO <br /> Lot Area: Sq.ft. /,ro C ll-Ar(cf Acres • Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): tot, 4- Right Side: • (00 F- <br /> Rear (Street): ( b 0 Left Side: I PO---I--- <br /> Adjacent Structures: c2• Wetland: -- <br /> Building Height: Def. Hgt. (>. (_ Peak Hgt. <br /> Lot Coverage: 1k/ /A <br /> Grading: Staff Approval Date: 0 By: Council Approval Date: <br /> Septic: Staff Approval Date: A/ (4 By: <br /> Zoning File: # 2S$' Resolution: # CIL/ r6 Resolution Date: 7-1°- <br /> Shoreland District: AA, <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): C_-(Dv - • . ,J <br /> 7 <br />