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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 41101 OAK T tom:T <br /> PID: <br /> DESCRIPTION OF WORK: - A oo ►—i o,J (ZL-Yyto o eC- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes c/ 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 b[ No Date of Survey: o N F I t.L <br /> ew NO"Proposed Setbacks: &M"%I ADO+770-s 4A4-01 O&ns,3 <br /> Front(bek€}: tSa.It 1'7S Right Side: <br /> i� <br /> Rear(Sheet): o '—�*Left Side: 66(t 4/3 <br /> Adjacent Structures: 4 T7?4G vW Wetland: N/A <br /> Building Height: Def. Hgt. O Peak Hgt. <br /> Lot Coverage: &JZ <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: we 5 * <br /> Avg. Setback: Q.k- d14^ Bluff Setback: AJ 14 Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' o•« <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): . <br /> 7 <br />