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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ►rd�o rz� <br /> PID: <br /> DESCRIPTION OF WORK: < <br /> ZONING REVIEW BY: DATE APPROVED: lo- 0 -0( <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District: R 2-\a <br /> Fire Department: (-On; <br /> ,c U4K6 Post Office: School District: VZZAJO <br /> Lot Area: Sq.ft. Ivo c Acres — Width — Depth — <br /> Survey Submitted: Yes>_ No Date of Survey: 6 3-OrI <br /> Proposed Setbacks: <br /> Front (Lake): 1p' Right Side: �o <br /> Rear (Street): Z,►o` Left Side: S.5;: <br /> Adjacent Structures: Wetland: 1wu ' t <br /> Building Height: Def. Hgt. Peak Hgt. o,[- <br /> Lot Coverage: 04k <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /U 0 <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 />