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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 2 31 G4.s� �o�N► 1Zo� <br /> PID: <br /> DESCRIPTION OF WORK: �:,c,�� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE� BY: ..— DATE APPROVED: 6 -�5' `16 <br /> BUILDING REVIEW BY: DATE APPROVED: � -t$-�j 6 <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 � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LR-( C- <br /> Fire Department: ►�V4��v� Post Off ce: W�y—L4ryt School District: wL��-�v t�•4 <br /> Lot Area: Sq.ft. �!0 (�3,� Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: nn� F(C,� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> I�L C..{� �S �C,4-n� <br /> Rear (Street): Left Side: <br /> /a�3pV-2 �CLK Qv�1'� <br /> Adjacent Structures: Wetland: V n��p.ta2 ,�-Qnw�,�T # 7 C�31' <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s-2so� NU G�Z <br /> 250-500' <br /> SOO-IOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />