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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `7'-10 n 2c 14-.4(t..0 p p,reK (Zo <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: ,._. DATE APPROVED: s-f o •o s BUILDING REVIEW BY: -Q-4.3/Sfy, DATE APPROVED: c _I o -oc <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes / No WA TER 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: 04,4- <br /> Proposed <br /> wProposed Setbacks: <br /> Front(Lake): 1 2,(.' i- Right Side: 13S <br /> Rear(Street): voa ' + Left Side: '100 +- <br /> Adjacent Structures: , .r c. kteo Wetland: n,k <br /> Building Height: Def. Hgt. N/A Peak Hgt. — <br /> Lot Coverage: At IR <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: NO <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 />