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AL <br /> c • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 113'o Ott w <br /> PID: <br /> DESCRIPTION OF WORK: 44.v o s 5aya.: PoN,D <br /> ZONING,REVIEW BY: - ,061, DATE APPROVED: 3 - o0 <br /> BUILDING REVIEW BY: DATE APPROVED: -3 -oo <br /> FEES TO BE CHARGED: 6 '�'"rj 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 STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> fum <br /> G <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes 0c, No Date of Survey: oN =-I t.<` v c r Ae, <br /> Proposed Setbacks: <br /> Front(Lake): 13y Right Side: '10 <br /> Rear(Street): 2–W7 Left Side: '30 <br /> Adjacent Structures: (Aa Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: Sr - 32, - oo By: e�O • Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date:. <br /> Shoreland District: <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): L y o A c r mftT-1 o" W 16 c• '� . dP. <br /> 7 <br />