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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z� u o c-� (3c� ►� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: IIS-7 -Z-c)( <br /> BUILDING REVIEW BY: DATE APPROVED: -7 -Zo 1 <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L2-f& <br /> Fire Department: o",\oon,V Post Office: W%4y 7-41—A School District: we5TVr-" <br /> Lot Area: Sq.ft. 53�6 3`1 Acres J,23 t Width 2r1,_-z;u L,,-2 Depth <br /> Survey Submitted: Yes_ No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 1 0Right Side: -? <br /> Rear(Street): -Zol Left Side: <br /> Adjacent Structures: 60' + Wetland: Al IA- <br /> Building Height: Def. Hgt. 0,(c Peak Hgt. C9IC <br /> Lot Coverage: iJ (4- <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # c)% --2jt$2 Resolution: # Resolution Date: ' 2 S•o <br /> Shoreland District: y YS <br /> Avg. Setback tie Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 16.?t o J <br /> 500-1000' <br /> Hardcover Variance Required: Yes No oL_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />