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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 330 /U 0 2T�4 S t+o2r. 'OP. W <br /> PID: <br /> DESCRIPTION OF WORK: <br /> -------____--------- <br /> ----------- <br /> ---:------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 3 0•oy <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 WATERCONNECTION <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 Pf- No Date of Survey: o N t2%uZ <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 102 ' ± <br /> Rear(Street): nx 'L Left Side: 2001 + <br /> Adjacent Structures: o6,-rTy%,cA+e c9 Wetland: 4j 1A <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Loc Coverage: AV4 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /U- <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 />