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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -10 nr o tt-n f s t-10 tp 2 v w e s r <br /> PID.- <br /> DESCRIPTION <br /> ID:DESCRIPTION OF WORK: N E w cZx 5 t- &cccssa!�f <br /> ZONING REVIEW BY: DATE APPROVED: 6 - <br /> BUILDING REVIEW BY.• DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yesy No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office:, School District: <br /> Lot Area: Sq;ft. Acres Width Depth <br /> Survey Submitted: Yes_ C No Date of Survey: S-30 -OL <br /> Proposed Setbacks: -da"e c C <br /> Front (Lake):2j,1.Z zr.1.4 Right Side: 1!51 <br /> Rear (Street): (Od i- PJ 14 Left Side: 8 a.S z <br /> Adjacent Structures: 3y� Wetland. <br /> Building Height: Def. Hgt. 2-).S Peak Hgt. 314-' <br /> Lot Coverage: N'Z A <br /> Grading: Staff Approval Date: b '10 2 By: Council Approval Date: — <br /> Septic: Staff Approval Date: to .f D- o L By:fIJ& <br /> Zoning File: # Resolution:# --- Resolution Date: <br /> Shoreland District: N 0 <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 /> 32 <br />