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Y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Lkllct bA K STR -T- <br /> PD: <br /> DESCRIPTION OF WORK: t--Tr-�CAc:10 GA2O�6e <br /> ZONING REVIEW BY: LL DATE APPROVED: t - 2.1%-c'7 <br /> BUILDING REVIEW BY: DATE APPROVED:. r .z,'q- 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURC HARGE Yes 6,— 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: LA-)6 <br /> Fire Department: (,oN Post Office; School District: 0 PtA tJO <br /> Lot Area: Sq.ft. Na C4h%%Xx3 Acres Width Depth <br /> Survey Submitted: Yes oK, No Date of Survey: '7-16 <br /> Proposed Setbacks: <br /> Front-(Lake): 3 ZS �44 Right Side: 1`l <br /> Raw(Street): t 2.-2.` .* Left Side: -30 <br /> Adjacent Structures: 12.E` Wetland: N (A <br /> Building Height: Def. Hgt. Q• k- Peak Hgt. <br /> Lot Coverage: O•kc- <br /> Grading: <br /> LGrading: Staff Approval Date: i o-zsa. ft 1 By: &A Council Approval Date: A/1#4 <br /> Septic: Staff Approval Date: /U /A- By: <br /> Zoning File: # (14 Resolution:#. — Resolution Date: <br /> Shoreland Dist:ict: y es <br /> Avg. Setback: N t R Bluff Setback: /)I/;- Lot Coverage: eQ.k <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2Z0' <br /> ZO-500' C <br /> 500-1000' <br /> Hardcover Variance Required: Yes No b( Date of Council Approval: <br /> REMARKS(in house): <br /> 26 <br />