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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 412.o eltwHAR D AKIc <br /> PID: <br /> DESCRIPTION OF WORK: G RA,(30r3(o - AAzvw qu z Z ,7o, 21 <br /> ZONING REVIEW BY: p w- Ni- L,.o. DATE APPROVED: ' • 2S -o( <br /> BUILDING REVIEW BY: Ai 1 t4. DATE APPROVED: <br /> FEES TO BE CHARGED: (9 MANb IV t•ees Cta1culate�d By: w <br /> PERMIT Yes ,.- No <br /> PLAN REVIEW Yes aor 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: R(1--i Or- <br /> Fire Department: (VI APG ()(40%i Post Office: �anri (*-fee" School District: b&O/40 <br /> Lot Area: Sq.ft. 1 lb'b,cibS.3C Acres Y 3 5 Width Z`t 490-7S Depth b 32. 5 <br /> Survey Submitted: Yes De No Date of Survey: C-11 -00 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <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: <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 /> 7 <br />