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� CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z �4��'� ^,.:,"vc-..r �,,�,;,�.� <br /> PID: <br /> DESCRIPTION OF WORK: ���;��i <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: r-f' �:. (�,,,.�.— DATE APPROVED: y 3�' `i 7 <br /> BUILDING REVIE`V BY: � � �,�,�,�� DATE APPROVED: � - 3� �j�7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes +l No SEWER CONNECTTON <br /> STATE SUR�HARCrE Yes f/ No WATERCONNECTION <br /> INVESTIGAZ'ION-FEE Yes No ✓' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Districr. �',{�- t� <br /> Fire Department: � 1Rru_:. Post Office: C�i�� v�tu= School District: ��;,i��� <br /> Lot Area: Sq.ft. ��L'i,i ' Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: C1� l"=l(,.` �.�,�.;;yuc,� <br /> /' <br /> Proposed Setbacks: <br /> Front (Lake): 23i.: Right Side: �> > � '�' <br /> Rear (Street): �`1U � + Left Side: � � S r '� <br /> Adjacent Structures: f Y>` Wetland: �'��1 <br /> Building Height: Def. Hgt. Iti' �I� Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <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 /> 1^ <br /> REMARKS (in house): <br /> • 26 <br />