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a <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 0 b 0(✓.) C 2-Ai 51744- ALf (2- <br /> PID: , <br /> DESCRIPTION OF WORK: ( .,te es s, s;wr•,� Ark. <7.10.4./ ,Sater") <br /> ZONING REVIEW BY: I DATE APPROVED: R . L7- 63 <br /> BUILDING REVIEW BY: �_Ri/ DATE APPROVED: g -27 -°3 <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 WA I'ER 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 t( No Date of Survey: (o.t -01 <br /> Proposed Setbacks: <br /> Front(Lake): 7 0° f' Right Side: 2b 4* <br /> Rear(Street): 4,0 • " Left Side: 3 0 0' <br /> Adjacent Structures: 35 Wetland: N /i4 <br /> Building Height: Def. Hgt. es,t4- Peak Hgt. <br /> Lot Coverage: pf �f. <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ", <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 /> 7 <br />