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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: clS 0 oa oN o oiac440n,0 <br /> PID: <br /> DESCRIPTION OF WORK: to><2.0 s t+1.1+0 1- GAR44 A61- <br /> ZONING REVIEW BY: DATE APPROVED: at- r z r <br /> BUILDING REVIEW BY:,zziejT DATE APPROVED: 1•l 2.-c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes V No WA LER 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 mac_ No Date of Survey: dor t=f <br /> Proposed Setbacks: <br /> Front(Lake): 3Y5 ' t Right Side: S S <br /> Rear (Street): (pi -4'. Side: 590' :11- <br /> Adjacent <br /> Adjacent Structures: l 0 141,44 Wetland: 6//fl <br /> Building Height: Def. Hgt. d •K- Peak Hgt. — <br /> Lot Coverage: /'V 1 A <br /> Grading: Staff Approval Date: --- By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — 11 Resolution: # Resolution Date: <br /> Shoreland District: AlV <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 />