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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: zz g s C3���•c ��-e - <br /> PID: <br /> DESCRIPTION OF WORK: A cc�a-sso� 5-�-�t�r�rc� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <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: (, Q -1 C <br /> Fire Department: �/v�,o u w� Post Office: �,v �4� School District: �,.�<s rz�n�u�u <br /> Lot Area: Sq.ft. (!�, a"7�• S� Acres Width Depth <br /> Survey Submitted: Yes d�- No Date of Survey: ..f ��-� 2-y-�3 <br /> Proposed Setbacks: <br /> Front(Lake): (6S � Right Side: 1 'Z' <br /> Rear (Street): J,S� Left Side: I� � <br /> Adjacent Structures: i i o Wetland: �1�ya <br /> Building Height: Def. Hgt. U� k- Peak Hgt. �� « <br /> Lot Coverage: .�3 <br /> Grading: Staff Approval Date: — By: �� Council Approval Date: � <br /> Septic: Staff Approval Date: � By: -� <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: �-1`Q,f _ <br /> Avg. Setback: i ^�� Bluff Setback: -- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �.CL <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />