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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: OLl <br /> PID: <br /> DESCRIPTION OF WORK: b F GSC, <br /> ZONING REVIEW BY: . DATE APPROVED: ') - /0 -oa <br /> REVIEW BY: DATE APPROVED: _ -�0 <br /> BUILDING � �o <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 No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L R- 1 <br /> Fire Department: ►Mio e.,,D Post Office: (v ievi7a q-1--A11--A1School District: <br /> Lot Area: Sq.ft. /fro C Ors (Acres Width Depth <br /> Survey Submitted: Yes p� No Date of Survey: OAr 1=t Vlr <br /> Proposed Setbacks: <br /> Front(Lake): toy t Right Side: 140 t <br /> Rear(Street): cj ' t Left Side: y I:- <br /> Adjacent <br /> Adjacent Structures: 4--77Y4c F/�, Wetland: N <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: L/�S <br /> Avg. Setback:' jV 6n Bluff Setback: A../bel- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' ?_-), 12 2-8 13 <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />