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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: gs15 AI.SSO. <br /> PID: <br /> DESCRIPTION OF WORK: /JEC1C O<—'F ��.4/�i9 6E De02 <br /> M1 <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: --�_t t •o;' <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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_i No Date of Survey: q* 30•ay <br /> Proposed Setbacks: <br /> Ron t(Lake): Z30 t Right Side: t O <br /> Rear(Street): -7o' Left Side: 7 3t <br /> Adjacent Structures: i¢rTX►C-1+c:rJ Wetland: /*J JA <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: .{g <br /> Avg. Setback: NJA Bluff Setback: to /64 Lot Coverage: -- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' ZS o <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No D- Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />