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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: zs4O oc-n (3eg;r1f /Z4/ tn <br /> PID: <br /> DESCRIPTION OF WORK: ( s�*Ape'J Z s7-O&t4 "U 1 T7,2N <br /> ZONING REVIEW BY: DATE APPROVED: _f- y- 0 <br /> BUILDING REVIEW BY: DATE APPROVED: y-or-0 i <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 SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L2-16 <br /> d z�}Tr4 <br /> Fire Department: M 00 Ov 0 Post Office: School District: <br /> Lot Area: Sq.ft. 54 569 Acres -2 Width /-5-7.163 A j(-- Depth 3-451"1 AVLs <br /> Survey Submitted: Yes V_ _ No Date of Survey: /4_-1?,- 2000 <br /> Proposed Setbacks: <br /> Front(Lake): t40' Right Side: 31 + <br /> Rear(Street): ?13' 't Left Side: 10.5 <br /> Adjacent Structures: A-n-ac-%+-� Wetland: Al 1#4 <br /> Building Height: Def. Hgt. 0_k Peak Hgt. 6*_ <br /> _ <br /> Lot Coverage: M.k. <br /> Grading: Staff Approval Date: Al /a By: Council Approval Date: <br /> Septic: Staff Approval Date: r1 By: <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: If 5 <br /> Avg. Setback: N t A Bluff Setback: /J Lot Coverage: •�C <br /> Existing Proposed <br /> Hardcover: 0-75' --- <br /> 75-250' <br /> 250-500' 30 3 0 <br /> 500-1000' '7 <br /> Hardcover Variance Required: Yes No)_ Date of Council Approval: <br /> REAS ARKS (in house): <br /> 7 <br />