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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL,�j <br /> ADDRESS OR LEGAL: 2 7 6 Q71-1 n 1 d ,C 1'i <br /> PID: )g'-/iPTI9,d-�, S- <br /> DESCRION OF WORK: , ,ZGdt .(, <br /> ZONING REVIEW BY: ‹..:Y(412,2, DATE APPROVED: 6-1 t-4 7 <br /> BUILDING REVIEW BY: -_-_ av„ -- DATE APPROVED: 6-I f•5 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t7 No <br /> PLAN REVIEW Yes t/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes t7 No WA1'ERCONNECTION <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: /Zt2-(I <br /> Fire Department: Lo to j(A!Gt? Post Office: (,unrC (A-tce School District: ©/U),v <br /> Lot Area: Sq.ft. /v o C( Acres Width Depth <br /> Survey Submitted: Yes eL No Date of Survey: op-4 t=t t s <br /> Proposed Setbacks: <br /> Front (Lake): I63 Right Side: N <br /> Rear (Street): Z foo Left Side: °� r 5 <br /> Adjacent Structures: 121 Wetland: iv't4 <br /> Building Height: Def. Hgt. 0 1( Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />