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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL.: S`1 Qt. C R- .s rick c, 3 fay rLo,ai� <br /> PID: <br /> DESCRIPTION OF WORK: C)E T AC.t-k 0 GAr .A6 <br /> ZONING REVIEW BY' � � DATE APPROVED: <br /> BUILDING REVIEW Y: u DATE APPROVED; <br /> FEES TO BE CHARG D: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE • Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC.Units OTHER (specify) <br /> ZONING CHECK LIS1E Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft.Zqq,Lel9 Acres (o.-7,6 • Width '7 53.7_8 Depth 350.`8? <br /> Survey Submitted: Yes ` No Date of Survey: <br /> Proposed Setbacks: <br /> Font(Lake): I SI 2. t Right Side: 310' <br /> • <br /> Rear(Street): 12` ± Left Side: ?m ot d' <br /> Adjacent Structures: (,1 Wetland: -- <br /> Building Height: Def. Hgt. 0 •(c- Peak Hgt. — <br /> Lot Coverage: Al I# <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 l?tequired: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />