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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 5721 fV- 5Tfz,F-NM %?-oA40 <br /> PID: <br /> DESCRIPTION OF WORK: Occ i- <br /> ZONING REVIEW BY: DATE APPROVED: t t- n-dS <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 STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes pe,_ No Date of Survey: 9-Z7-'9-3 (o r Flu's) <br /> Proposed Setbacks: <br /> Front(Lake): t 50' Right Side: 84 T <br /> Rear(Street): 2C10 Left Side: $3f T <br /> Adjacent Structures: A rTAc t4�--*J Wetland: /v IA <br /> Building Height: Def. Hgt. /111,1- Peak Hgt. -- <br /> Lot Coverage: Ill 1A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ,1,ej <br /> Avg. Setback. D.X- Bluff Setback: ri )A Lot Coverage: t J <br /> Existing Proposed <br /> Hardcover: 0-75' D•K <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No. it Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />