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1 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t 13 6 1uc7'M S iAo at L or, w <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ---------------------------------------- ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: o,.� DATE APPROVED: ; 7 <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L_(Z-l9 <br /> Fire Department: yam_;,j/3 Post Office: rv%-o je. O School District: <br /> Lot Area: Sq.ft. 3cl(,, cl.6 Acres ,X11 Width i Oct Depth 391 <br /> Survey Submitted: Yes oC No Date of Survey: O c— Z$ <br /> Proposed Setbacks: <br /> Front (Lake): _ -3 37 Right Side: �y <br /> Rear (Street): 30' Left Side: ?Q <br /> Adjacent Structures: + 1 S' Wetland: i-1 +A <br /> Building Height: Def. Hgt. Z I Peak Hgt. Zai <br /> Lot Coverage: /J 1A <br /> Grading: Staff Approval Date: — By: - Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: #2- Resolution: �i �`3!(,� Resolution Date: (� 'C' ' 97 <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): <br /> 26 <br />