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CHECKOFF LIST FOR ISSUANCE OF PER1111TS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 S 3 S O BOA C 6� <br /> PID: <br /> DESCRIPTIONOF WORK: P iv + 00&-CJI <br /> ------------------------------------------------------------------------------- -- - <br /> ZONING REVIEW BY: 1!4------t------------------------------------------------------------------------ <br /> DA TE APPROVED: <br /> BUILDING REVIEW BY: DATEAPPROVED: ��.L►-c� <br /> -------------------------------- <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 WATER CONNECTIOtV <br /> INVESTIGATION FEE Yes 1Vo /� PARK FEE <br /> SAC Yes 1Vo l/ SITE LVSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------ <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office:. School District. <br /> 2• (P� lij-I u Depth <br /> Lot.Area: Sq.ft. l«Q�6U `�� Acres Width <br /> Survey Submitted: Yes No X Date of Survey: Q,11 -6i-ll <br /> Proposed Setbacks: <br /> 00T,-i�/ rna"a�v Z. IA-) <br /> Ft"w(Lake): -V5 � Right Side: l C/0 OV <br /> VK <br /> Rear(Street): 360 ' Left Side: l Z"7 �' �° �evv fi = ��t [at f <br /> Adjacent St uctures. Wetland.- <br /> Building <br /> etland:Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: L <br /> Grading: Staff Approval Date: r/O c_l B : Council Approval Date: <br /> Septic: Staff Approval Date: M9 BY w 6 <br /> Zoning File: # _ Resolution: # Resolution Date: — <br /> Shoreland District: X00 -1000" <br /> Avg. Setback: Bluff Setback: N fA Lot Coverage: N14 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No xx Date of Council Approval: <br /> REAIARKS(in house): <br />