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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -7410 p 2.C.1- A C2NO P r42t< (2.4 A-,0 <br /> PID: <br /> DESCRIPTION OF WORK: 5 H ) <br /> ZONING REVIEW BY: d (Q�,�,,,c,,..- DATE APPROVED: S-=o -0 c <br /> BUILDING REVIEW BY: -)),6 _ DATE APPROVED: 5--t o-o S <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: ori r-t <br /> Proposed Setbacks: <br /> Front (Lake): 10 3 t Right Side: Z93 } .fele-Fed y/jam/ <br /> �e d !os <br /> Rear (Street): Zoo' +- Left Side: 00 6/La <br /> 24).°Z, <br /> Adjacent Structures: 10' Wetland: 2J <br /> ate.. — tet` <br /> Building Height: Def. Hgt. 0 .t - Peak Hgt. — ,t <br /> pis oso o .,6Ez4 p� r <br /> Lot Coverage: w/A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: .r o <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 />