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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: j 3c1 S QfLonip tA,. <br /> PID: <br /> DESCRIPTION OF WORK: A-001 nom <br /> ZONING REVIEW BY: • I, DATE APPROVED: /0. 8 c <br /> BUILDING REVIEW BY: 4��, , I,,_ DATE APPROVED: to- 43- S1 <br /> 4 <br /> FEES TO BE CHARGED: Yw <br /> 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 Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: LIZ-IA <br /> Fire Department: wAy-IA-7W Post Office: v1/4/Aer-4-TY3 School District: pQ?r0 <br /> Lot Area: Sq.ft. 37) 250 Acres . (IQ S Width I 2 Depth P Z-6-)•r 7 <br /> Survey Submitted: Yes )4- No Date of Survey: 2.-Is-- 893 <br /> Proposed Setbacks: <br /> Front (Lake): _ •J$Q {= Right Side: 5-1 <br /> .f <br /> Rear(Street): Zd Left Side: ir8et <br /> Adjacent Structures: C70 ' Wetland: N/,4- <br /> Building Height: Def. Hgt. 04,L Peak Hgt. — <br /> Lot Coverage: (91) -- <br /> Grading: <br /> ,) -- <br /> Grading: Staff Approval Date: AJ/,4- By: — Council Approval Date: <br /> Septic: Staff Approval Date: Al(4 By: <br /> Zoning File: # /4 64 Resolution: # — Resolution Date: <br /> Shoreland District: v e s <br /> Avg. Setback: co Bluff Setback: 0• Lot Coverage: Q• l�. <br /> Existing Proposed <br /> Hardcover: 0-75' 7.51 2.45 Z <br /> 75-250' � 5 b 14.72 <br /> 250-500' `.1.41(/ 41. Y y <br /> 500-1000' <br /> Hardcover Variance Required: Yes No oC Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />