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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Z.o O R o tv o o 2c 1•(fsic y <br /> PID: <br /> DESCRIPTION OF WORK: cam►ne CA.-4 o y 5 A-r /J*f,V A7d 2 f s e/tv,Ge C: inky <br /> ZONING REVIEW BY: c j9% --- DATE APPROVED: 7-9 -o z <br /> BUILDING REVIEW BY: 04/Z:- DATE APPROVED: -7-°► -o-Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ 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 34 No Date of Survey: -7- L- <br /> Proposed Setbacks: <br /> Front(Lake): 11061 + Right Side: I t)b 4 <br /> Rear(Street): 1'10' 'f Left Side: t L(,O I 4- <br /> Adjacent <br /> Adjacent Structures: r4Tn vc.44-pa' Wetland: i (A <br /> Building Height: Def. Hgt. C).\C Peak Hgt. 2) (c <br /> Lot Coverage: Al//4- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Af d <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 />