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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 3'35 2csT COWT CZ oA,C� - <br /> PID: <br /> DESCRIPTION OF WORK: _ p,p�,�- � o� <br /> ZONING REVIEW BY: DATE APPROVED: �o•s-o z <br /> BUILDING REVIEW BY: DATE APPROVED: i c •s-u z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes i/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L.2-I!3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: � <br /> Froat(Lake): 1,1 Right Side: �� <br /> Rear(Street): (,� Left Side: ( �� <br /> Adjacent Structures: f!T-r+�ct�i-� Wetland: N/A <br /> Building Height: Def. Hgt. p.(� Peak Hgt. o.�L <br /> Lot Coverage: <br /> Grading: Staff Approval Date: , • . By: Council Approval Date: <br /> Septic: Staff Approval Date:�� N (A By: � <br /> Zoning File: # 2-2�9 i Resolution: # �{�3y Resolution Date: q•20 -02 <br /> Shoreland District: '/15 <br /> Avg. Setback: �v�,a Bluff Setback: iv Ih- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' ���_�p� <br /> 75-250' ��2 3 3q,}�T; <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_� No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />