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CHECK OFF LIST FOR ISSUANCE OF PERMITS . <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i�,3� CrA rcE�c I�cw T�2/!�1 c.� � <br /> PID: <br /> DESCRIPTION OF WORK: (�s�� -- <br /> ZONING REVIEW BY: DATE APPROVED: �-� 9 <br /> BUILDING REV�W BY: DATE APPROVED: . f� -I 4q-5 g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes ✓ No SEWER COrfN�CITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (-R--►A <br /> Fire Department: �,c�N�i L4�C.�.' Post Office: �,Onf School District: ��LoNa <br /> Lot Area: Sq.ft. o Acres -'—" Width — Depth — <br /> Survey Submitted: Yes D< No Date of Survey: �d�13'4�( <br /> Proposed Setbacks: <br /> Front(Lake): �� Right Side: /�(�� <br /> Reaz(Street): y 5 Left Side: y`'� <br /> Adjacent Structures: 1 D' Wetland: N �� <br /> Building Height: Def. Hgt. �1/ //-►- Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> N.�' � Zoning File: # Resolution: # Resolution Date: <br /> 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 /> 7 <br />