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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (U Z 0 0 Lo G . s r c_ Q A`t 17A'a-1O <br /> PID: <br /> DESCRIPTION OF WORK: [1,4.. a vim. A-'O t-n <br /> ZONING REVIEW BY: DATE APPROVED: .t7 _ z4 -0o <br /> BUILDING REVIEW BY: DATE APPROVED: -7 7-4 -00 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes /../* No <br /> PLAN REVIEW Yes L No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ 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 LIST Zoning District: R R- 13 <br /> Fire Department: Lovv,5(A,tt,� Post Office: (raft (M School District: [�r?on/D <br /> Lot Area: Sq.ft. M� c`1J4i '/.- Acres — Width Depth — <br /> Survey Submitted: Yes c.c.. No Date of Survey: 04•4 e <br /> Proposed Setbacks: <br /> Front(Lake): 100 '! Right Side: 10' <br /> Rear(Street): y SO' Left Side: 1'SO <br /> Adjacent Structures: Aerrvs.c.ifed Wetland: A/(.a. <br /> Building Height: Def. Hgt. U-V. Peak Hgt. Io•<< <br /> Lot Coverage: N!A <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: (N1 0 <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 />