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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: SS s. o L-LO .1244cm - (1 <br /> PID: <br /> DESCRIPTION OF WORK: Al Eu0 (2 E <br /> ZONING REVIEW BY: ____---�- DATE APPROVED: t t U-o c <br /> BUILDING REVIEW BY: DATE APPROVED: t t.zt_ o1'" <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 f PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units ,I,a,tric. ,kA OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2g1/,oc Acres (,. 5 Width t to Depth t-( 2 <br /> Survey Submitted: Yes pC No Date of Survey: q- t - o S <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): 21 Right Side: 1 t O' 1' <br /> Rear(Street): j 3' Left Side: L.(501 ± <br /> Adjacent Structures: °15 Wetland: 1a' :1-- <br /> Building <br /> Building Height: Def. Hgt. 3 o ' Peak Hgt. 3" <br /> Lot Coverage: N 1 <br /> MP G <br /> Grading: Staff Approval Date: 1 l- 1.5-c2 S By: fads Council Approval Date: — <br /> Septic: Staff Approval Date: t 1- t 5 .o S By: J..(., <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: /`V7 <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 />