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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (o'4 0t.-0 LOr 6 K-Ar CZoI <br /> PID: <br /> DESCRIPTION OF WORK: ("IE'-A. (2-es • <br /> ZONING REVIEW BY: cclDAy <br /> TE APPROVED: rs -4?-6 <br /> BUILDING REVIEW BY: I f DATE APPROVED: ¢--e cirr (0,13•o5- <br /> • <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes 1. No SITE INSPECTION <br /> • <br /> Number of SAC Units' 5dgcOTHER (specify) M M-_- -� <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: _.. <br /> Lot Area: Sq.ft. '1441506;;Z Acres I. o2Z Width Depth <br /> Survey Submitted: Yes A. No Date of Suvey: 3-31-05 <br /> Proposed Setbacks <br /> Front(Lake): SS•to Right Side: '/S. 5 <br /> Rear(Street): SS Left Side: 9O' <br /> Adjacent Structures: N(, Wetland: N//4 <br /> Building Height: Def Hgt. 2"7' Peak Hgt. 3Z` <br /> Lot Coverage: - S 2 '1- <br /> Grading: Staff Approval Date: 6-13 0 S TK 4'-By: Council Approval Date: <br /> Septic: Staff Approval Date: NWA By: <br /> Zoning File: # D(-27r Resolution: # S/8S Resolution Date: 6-/y-D <br /> Shoreland District: VV 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 <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 3I <br />