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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 15 6C O2o/uv oAi'S <br /> PID: <br /> DESCRIPTION OF WORK: 17 tAc S GAietA4, <br /> ZONING REVIEW BY: . L,,n,-- DATE APPROVED: 9- 9 - <br /> BUILDING REVIEW BY: ft ! , DATE APPROVED: 9 -or -9 <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: (2.1 -t dl <br /> Fire Department: (,,+4,+5 C&u e Post Office: (c,s��h School District: Of 'J <br /> Lot Area: Sq.ft. luc• G41144vy Acres Width Depth <br /> Survey Submitted: Yes Ok. No Date of Survey: cyv r tt% (1.Se 8 S <br /> Proposed Setbacks: <br /> Front (Lake): to(0.5 Right Side: (5.1./ 1 ± <br /> Rear(Street): '2O ' 'l' Left Side: 23.54 + <br /> Adjacent Structures: °I 5— ( Wetland: jo`f <br /> Building Height: Def. Hgt. l D Peak Hgt. I Z` <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Al (4- By: Council Approval Date: — <br /> Septic: Staff Approval Date: ""1/1-- By: — <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: QC) <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 /> 26 <br />