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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 f 3 0 No r1--rVk S E-k 4-4✓ O/Z VJ ev <br /> PID: <br /> DESCRIPTION OF WORK: e-"rM vee <br /> ZONri IG REVIEW BY: ��--------wN DATE APPROVED: M �1 Z4�•4� <br /> BUILDING REVIEW BY: DATE APPROVED: -Y-ZY-06. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yesr- 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,mac _ No Date of Survey: te <br /> Proposed Setbacks'. <br /> Front(Lake): Right Side: 010'_ <br /> Rear(Street): Zs—a 1 + Left Side: S <br /> Adjacent Structures: �� 4 Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. g <br /> Lot Coverage: N l✓s <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: "— By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /%A <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 /> 17 <br />