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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> T ADDRESS OR LEGAL: 23�i S QC�A i N cr 1`�� <br /> PID: <br /> DESCRIPTION OF WORK: 14p Q� � <br /> ZOrTi 1G REVIEW BY: DATE APPROVED: - F pl <br /> BUILDING REVIE`V BY: DATE APPROVED: ��q - o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1ti1IT Yes _� No <br /> PLA��t REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes __�r No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z0�1ING CH�CK LIST Zoning District: L/L - 1 L -� <br /> Fire Department: tNWunN� Post Office: �,p.�,��q..ry�- School District: t,t)es r-Unl K�4 <br /> Lot Area: Sq.ft. Zv��-tcs o Acres , (o O Width / 3 Z Depch 'Z(��p <br /> Survey Submitted: Yes �C No Date of Survey: 3-6-� t <br /> Proposed Setbacks: <br /> Front (Lake): �0� 't /�1 Right Side: fo7 � <br /> � <br /> Rear (Street): ��{ � ,S Left Side: `(� w <br /> Adjacent Structures: /'��iG{� Wetland: — <br /> Building Heigh[: Def. Hgt. C� �lz- Peal:Hgt. <br /> Lot Covera?e: `- <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: I,ot 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 h0use): <br /> 7 <br />