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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z O S N otZTNk Ggo Te- A <br /> PID: <br /> DESCRIPTION OF WORK: A-o o -n <br /> ZONING REVIEW BY: DATE APPROVED: 11- 3y cig <br /> BUILDING REVIEW BY: DATE APPROVED: 13 0 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 G/ 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: Q-i A <br /> Fire Department: Post Office: y,,, n4-&A-rya School District: L„jp,, -zAv ^ <br /> Lot Area: Sq.ft. (61 n0 Acres 4B Width C)V Depth O <br /> Survey Submitted: Yes pC No Date of Survey: 11- 22 -e?4 <br /> Proposed Setbacks: <br /> Front(Lake): Z• Right Side: 0 <br /> Rear(Street): Go Left Side: -)2 $ <br /> Adjacent Structures: (0-rW"A4—'OcP Wetland: nJ I A <br /> Building Height: Def. Hgt. 0.kc- Peak Hgt. O.k.- <br /> Lot Coverage: K/ /(4' <br /> Grading: Staff Approval Date: By: 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 /> MARKS (in house): <br /> 7 <br />