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CHECK OFF LIST FOR ISSUANCE OF PERIMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: f o l C HGF y C i-�^S!L R <br /> PID: <br /> DESCRIPTION OF WORK: eJ eCK <br /> __—_—_---------------------------- — ------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: -7-3 -o c <br /> BUILDING REVIEW BY: �,. DATE APPROVED: 7-3-o t <br /> FEES TO BE CHARGED- Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: 2-I A <br /> Fire Department: WAj Z• Post Office: School District: W►�2 . <br /> Lot Area: Sq.ft. 1(o i yx)u Acres 3c8 Width 12-0 Depth 14 O <br /> Survey Submitted: Yes r__ No Date of Survey: (,-`-t- 01 <br /> Proposed Setbacks: <br /> Front (Lake): 690 Right Side: -3 <br /> Rear (Street): 5-7 Left Side: 3t6 <br /> Adjacent Structures: oq--t-yWc tn� Wetland: /U 1/1 <br /> Building Height: Def. Hgt. 0,t c Peak Hgt. d•1L <br /> Lot Coverage: 1 S�b <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: IVO <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 />