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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (,`"15 (9G0 (P CAte X61/0 <br /> PID: <br /> DESCRIPTION OF WORK: tier. (o 4-M 6 <br /> ZONING REVIEW BY: JN DATE APPROVED: 10•'u{- o S <br /> BUILDING REVIEW BY: , . DATE APPROVED: j o• 2'-f-05 <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 WA1'ERCONNECTION <br /> INVESTIGATION FEE Yes No (/' PARK FEE <br /> SAC Yes No — Sf EINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. y .31s Acres ( •oz-1- Width Depth <br /> Survey Submitted: Yes O( No Date of Survey: oN -A Q <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): 131 Right Side: 1,0' <br /> Rear(Street): 4 3 Left Side: +7'J <br /> Adjacent Structures: 1/ Wetland: NM <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Lot Coverage: (o .3 (770 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: NrD <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 /> 1 <br />