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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 44W81 81 ©A K 6j <br /> PID: <br /> DESCRIPTION OF WORK: 15T0rA6C <br /> -- <br /> ZONING REVIEW BY: -- DATE APPROVED: 3-Z <br /> BUILDING REVIEW BY: DATE APPROVED: 3 - i 7- 0 <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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oL No Date of Survey: j <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 4- <br /> Rear(Street):` Left Side: 9 <br /> Adjacent Structures: S` Wetland: 1%11A <br /> Building Height: Def. Hgt. 0 • <- Peak Hgt. <br /> Lot Coverage: 0•\11- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: k✓a' By: <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: X125 <br /> Avg. Setback: N 17 Bluff Setback: 1,4 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 /> 7 <br />