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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1330 . i ►t L ,7 S f,-Z , ,!G 11 -Lsf{- <br /> PID: 712J. <br /> DESCRIPTION OF WORK: 1\1 ) . <br /> ZONING REVIEW BY: DATEAPPROVED: zji a•7''`�° %,i y <br /> qC <br /> BUILDING REVIEW BY: C DATE APPROVED: 2- zz—o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No rim SITE INSPECTION <br /> Number of SAC Units PA,o to-3o.1 S y 139 OTHER (spec) <br /> ZONING CHECK LIST Zoning District: - I S <br /> Fire Department: Post Office: School District. �7 <br /> Lot Area: Sq ft. Acres , 7"+ Width 180 Depth_ Z Z.-7 <br /> - t <br /> Survey Submitted: Yes V No Date of Survey: /v/�D/O(c u'-'/sLc zf/S7�J(o <br /> Proposed Setbacks: -t--+ l(c/Th <br /> Front(Lake): I 5 Right Side: 3(�' (SA/0) <br /> Rear(Street): 3C Left Side: ZZ, <br /> Adjacent Structures: /`-/P Wetland: NM <br /> � ` <br /> y _ <br /> Building Height: Def. Hgt. Peak Hgt. /f li C,vl�?uJ r C-c/cv <br /> 3 f 2 y � �lDr SO %� cti�y l� � c�(c cam/ <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Z'L2 - 0? By: /T,/)�a- Council Approval Date: <br /> Septic: Staff Approval Date: �f g- By: WV // <br /> Zoning File: # 0 7�3Z,f Resolution: # Resolution Date: / 'Z z(07 <br /> Shoreland District: MCWD Permit: 1 <br /> Avg.Setback: d <br /> g � ,. CC.ivA7N Bluff Setback: N!9 Lot Coverage: l d rs v <br /> stnrg— Proposed <br /> Hardcover: 0-75' c3 <br /> 75-250' 2.4 r 1,34 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No V Date of Council Approval: <br /> REMARKS(in house): I /moiWC6.1 /rn% I-/ (ye te-h GYM <br /> Wit/A4 )e' ,/ <S fr /C2rl cp <br /> 33 <br />