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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I OOS 0 L.10 (....NN 6 (.Alc t, ("z-OAS' <br /> • PID: <br /> DESCRIPTION OF WORK: NE V"-I i$ <br /> ___ <br /> ZONING REVIEW BY: DATE APPROVED: 1- L7-07/BUILDING REVIEW BY: e,`,, __-M DATE APPROVED: g • L7.0 y <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 WA!'ERCONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes , No SITEINSPECTION <br /> Number of SAC.Units i" OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (Z CL-1 l3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1.52:3 Acres (.(.,3`O Width Z 50' Depth <br /> Survey Submitted: Yes ,e No Date of Survey: $-5-03 <br /> Proposed Setbacks: <br /> Front (Lake): 46 Right Side: 40 51 <br /> Rear(Street): $1 Left Side: ►24, <br /> Adjacent Structures: 10 -I-0 Pool Wetland: N/ <br /> Building Height: Def. Hgt. 5' Peak Hgt. Y ' <br /> Lot Coverage: c-K t1° <br /> Grading: Staff Approval Date: 2- IQ) o `- By: /1/4: • Council Approval Date: <br /> Septic: Staff Approval Date: /\-1(A By: <br /> Zoning File: # o y-2'r7a Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: N i A Bluff Setback: N /i Lot Coverage: )`7 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' f "fo <br /> Hardcover Variance Required: Yes No Sr- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />