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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1120 rU o2ll-M s t+94,4E %O 2 W <br /> PID: <br /> DESCRIPTION OF WORK: A o 0 1 T a nl 2t_ <br /> ZONING REVIEW BY: Ple DATE APPROVED: 6--3-Q3 <br /> BUILDING REVIEW BY: DATE APPROVED: 4, 3 - %J!5 <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 be No Date of Survey: 11- <br /> Proposed Setbacks: <br /> Front(Lake): 14 7' Right Side: 2-0.2 <br /> Rear(Street): 290 Left Side: ZS <br /> Adjacent Structures: W/A Wetland: N/A <br /> Building Height: Def. Hgt. m.,k= Peak Hgt. <br /> Lot Coverage: Al lii <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: X o <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 />