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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �S OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: rAA, 0m o N �1 L2—Lyw✓J-e L <br /> ----------------------------------- --------- ------------------------------------------------------ - ------- <br /> ZONING REVIEW BY: t a, DATE APPROVED: 1,4-�� <br /> BUILDING REVIEW BY: DATE APPROVED: <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -_- ----------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: JAh <br /> - School District: n f'bnD <br /> Lot Area: Sq.ft. -- Acres 17 a&W.S Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: 4 35 <br /> Front(Lake): .5 Right Side: <br /> Rear(Street): Left Side: 0 <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Dater 'd ODO <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 4 Resolution: # Resolution Date: <br /> Shoreland District: <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 X Date of Council Approval: <br /> REMARKS(in house): )pdW UC -DY /0909 <br /> 7 <br />