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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 15 O'2 oNO a r.C'�-mez4/ £oo/) _S— <br /> PID:PID: <br /> DESCRIPTION OF WORK: (ry 6/2-4)J/v/) Po o <br /> ZONING REVIEW BY: DATE APPROVED: t -23 •oy <br /> BUILDING REVIEW Br-4":•;:---d3.4'• DATE APPROVED; g-Z 3 -o•-r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .V No <br /> PLAN REVIEW Yes • No i/ 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 oC No Date of Survey: o' (A' <br /> Proposed Setbacks: <br /> Front(Lake): 2-6c)' f Right Side: Zoo + <br /> Rear(Street): 13 H Left Side: 43 <br /> Adjaceat Structures: 14 ' Wetland: N(A <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: Ai) <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 />