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9 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ; FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: Z 6(�1 f2 A►nS e4 (�-�O <br /> PID: <br /> DESCRIPTION OF WORK: �EW 21_.S <br /> ----------- ____---- _ ---------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /D -�7-d� <br /> BUxLDING REVIEW BY: DATE APPROVED: io- � 7- o t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _J� No <br /> + PLAN REVIEW Yes �/ No SEWER COrfNECTION <br /> STATE SURCHARGE Yes �� No WAT�.RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No�� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: ��Z-)(� <br /> Fire Department: (�r,�c b (htCaZ Post Office: Co� I 3 School District: p�2p�o <br /> Lot Area: Sq.ft.�1 Z�,blQt Acres �I•.�.Z Width 3�9 � Depth I 57�f <br /> Survey Submitted: Yes�_ No Date of Survey: (Z.•Z.o. 2o�n <br /> ' Proppsed Setbacks: <br /> Front(Lake): 1 q'7 � Right Side: °!4 � <br /> Reaz(Street): /306 �'= Left Side: �'Q•07 <br /> Adjacent Structures: 3�0 Wetland: y0o ` "t <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: /V lA <br /> ' Grading: Staff Approval Date: 10 - �'�-o t By: � Council Approval Date: — <br /> Septic: Staff Approval Date: �p-i� - d� By: f'1��3 <br /> ' Zoning File: # — Resolution: # — Resolution Date: <br /> � <br /> ; <br /> ' Shopeland District: /Ud <br /> � Avg. Setback: Bluff Setback: Lot Coverage: <br /> ? Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vuiance Required: Yes No Date of Council Approval: <br /> P:E�IARSS(in house): <br /> I, 7 <br />