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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY ^Q <br /> ADDRESS OR LEGAL: .off d = = I di si _ • A S <br /> PID: 0 4—1 ( 7 .?-3 4- 3 oc>o 8 <br /> DESCRIPTION OF WORK: L4) a- tic" <br /> ZONING REVIEW BY: c:M(l,,,,, -._ DATE APPROVED: 1 o ZZ-q b <br /> BUILDING REVIEW BY: 6 ,,4, ,.....„ DATE APPROVED: to - Z i . 4 6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t7' No <br /> PLAN REVIEW Yes 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 /> ZONING CHECK LIST Zoning District: ( -1 Q <br /> Fire Department: (fC.tvcJ 14,L Post Office: Cc 3 CAt,I: School District: OI^ot/Qt..) <br /> Lot Area: Sq.ft. Nc Cts* *Acres Width 3 2 3-1/4.4 Depth r)C <br /> Survey Submitted: Yes ,( No Date of Survey: Y- b 7 b <br /> Proposed Setbacks: <br /> Front (Lake): 13C%' Right Side: 70' t <br /> Rear (Street): Z(t' Left Side: 2. S7' L <br /> Adjacent Structures: /4-/74 c(4-43t9 Wetland: Ail iil <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /11.* By: 10 t! <br /> Zoning File: # Resolution: # Resolution Date: <br /> V v Shoreland District: _. <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 /> 26 <br />