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� <br /> CHECK OFF LIST FOR ISSUAl�iCE OF PERMITS <br /> . FOR OFFICE L�SE ONL�'� j (,. <br /> ADDRE.SS OR LEGAL: ,. =� "J:�� l�-�-�% f �cu-r`. � /"� �.k- <br /> � � -� �-7 <br /> PID: '; - i� � ' -3_ :�-� �, ��Z� _> <br /> DFSCRIPTION OF WORK: _ <---- <br /> ZONING REVIEW BY: �7 0„(1���,•.— _ DATE APPROVED: !t�"��-q s- <br /> BUII..DING REVIEW BY��N�A 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 WATER CONNEC'IION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) ��_ _ <br /> -- - --------__------------ <br /> ZONING CHECK LIST Zoning District: L2'�� Shoreland District : <br /> Fire Department: <br /> Post O�ce: School District: <br /> Lot Area: Sq.fr. 30,(0 3`1 _Acres .7 Width 1(�R�t..�uv►'►2- Depth <br /> Survey Submitted: Yes 4� <br /> No Date of Survey: I l� -27-�� <br /> Proposed Se[backs: �, <br /> Front (Lake): ? S Right Side: <br /> �N �l�. L�,�'-�C <br /> Rear (Street): I.eft Side: � <br /> Adjacent Structures: Wetl . <br /> Building Height: Def. Hgt. Pe� a• <br /> Avg. Secback: <br /> Bluff S back: t Cove ge: <br /> Exist' g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500 <br /> 500-10 ' <br /> Hazdcover Variance R uired: Y s No Date of Council Appr val: _______.____ <br /> Grading: Staff Appr val Date: By: Council Appro al Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: l# ?.0 3 2 <br /> Resolution: � 3 S S� Resolution Date: � "�y y�S� <br /> P;��y��gK,S (in house): <br />