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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I lap Oki C C-(Stnk 0I'k <br /> PID: <br /> DESCRIPTION OF WORK: (,naF.,„/b <br /> -------------- <br /> ZONENG REVIEW BY: ,M.JG +' APPROYTD: R- <br /> IEif <br /> BUILDING REVIEW BY: c ( - DA'L'E APPROVE —/9 . <br /> • <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONThIG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted:• Yes 1/ No Date of Survey: /-, $' 13' <br /> • <br /> • <br /> Proposed Setbacks': <br /> Front(Lake): fo 0 ± Right Side: • 3bO <br /> Rear(Street): (o act - Left Side: Zo(1t + <br /> i <br /> Adjacent Structures: _ 30D' -- Wetland: i31) *- <br /> Building Height: Def, Hgt. Peak Hgt. N /A <br /> Lot Coverage: W (.41- <br /> • <br /> Grading: Staff Approval Date: Al( By: Council Approval Date: <br /> Septic: Staff Approval Date: NP By: L--)6- <br /> Zoning File: # -- Resolution: R — Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: 0/ ( /3- Lot Coverage: ,/IA- <br /> Disting Proposed <br /> Hardcover: 0-75' <br /> 75-250' c? K <br /> 250-5C0 <br /> 500-1000' <br /> Hasdcaver 1c2 r'_gl.l =e,: Les ,:C <br /> P.E iRRS (Ln hoase): <br />