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CHECKOFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZsoS 0(_4 G.,�Ac N 490410 <br /> PID: <br /> DESCRIPTION OF WORK: Qoo <br /> ZONING REVIEW BY: DATEAPPROVED: <br /> BUILDING REVIEW BY.• DATEAPPROVED: (d z5 -o c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c,,� No <br /> PLAN REVIEW ___ Yes- f No__ _. . -SEWER CONNECTION - <br /> STATE SURCHARGE Yes 1/ 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—)C- No Date of Survey: p rt F I LAE <br /> Proposed Setbacks: <br /> Front(Lake): )( Right Side: 1,%9 ' <br /> f <br /> Rear(Street): �� t Left Side: (00 <br /> Adjacent Structures: y 7 Wetland: (oO' '- <br /> Building Height: Def.Hgt. Peak Hgt. <br /> Lot Coverage: p%/1 <br /> Grading: Staff Approval Date: Aw Council Approval Date: <br /> Septic: Staff Approval Date: "" By: <br /> Zoning File: # Resolution:# Resolution Date: <br /> Shoreland District: y t'5 <br /> Avg. Setback. N/;4 Bluff Setback: N( Lot Coverage: �- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> C- <br /> 250-5W �• <br /> 500-1000 <br /> Hardcover Variance Required: Yes No_�K, Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />