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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-.11:.0 so . 1)(Z 012c14+412.✓J t2 o Ao <br /> PID: <br /> DESCRIPTION OF WORK: Po to t-4 o v-e, ex S-n OeLK 4 ivcth, Po itc-k <br /> ZONING REVIEW BY: 4?„,e, w DATE APPROVED: I-2 7-og <br /> BUILDING REVIEW BY: DATE APPROVED: I z-i Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes 1/ No WA l ER CONNECTION <br /> INVESTIGATION FEE Yes No . 'tib' PARK FEE <br /> SAC Yes No SI 1'hINSPECTION <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: o Lk. 1-12-$4, <br /> Proposed Setbacks: <br /> Front(Lake): t46' t Right Side: loot + <br /> Rear (Street): 107 t Left Side: t 00 4 <br /> Adjacent Structures: — Wetland: — <br /> Building Height: Def. Hgt. o•K- Peak Hgt. <br /> Lot Coverage: N I�► <br /> Grading: Staff Approval Date: ., I A By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: N b <br /> Avg. Setback: Bluff Se:back: 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): W a Y2K S 2 - t . + �T Car AA <br /> 7 <br />