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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2%AlbO C-A-0 <br /> PID: <br /> DESCRIPTION OF WORK: 6AAA6e A"O 4-yi,- 44c- <br /> ZONING REVIEW BY: DATE APPROVED: /o -5-ay <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 e/ No WATERCONNECTION <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: L,,�•►3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1020b7K Acres Width 190 -IS 1,0L Depth <br /> c <br /> Survey Submitted: Yes pe No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): r Right Side: No +,.5 S cA(_4 <br /> Rear(Street): Left Side: 9.4 <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. y, Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # e3.3a Resolution: # Resolution Date: g-LS•03. <br /> Shoreland District: . � <br /> Avg. Setback: p.ic Bluff Setback: A!(* Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' Z�y <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): tAMILl< 46^w w �'t�/a✓ /,�-� `r�vr �s <br /> 7 <br />