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r � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �i C o 2 i�Q tu G'�=�%���=� C-,��:: <br /> PID: <br /> DESCRIPTION OF WORK: ia� �„Cac. <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: `- �,�„�,_._ DATE APPROVED: 7 -t� <<? <br /> BUILDING REVIEW BY: _ � ' 4�.��. DATE APPROVED: > -��. `7'� <br /> -------------------------------------------------t -------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v" No <br /> PLAN REVIEW Yes Y— No SEWER CONNECTION <br /> STATE SUR`I�ARGL Yes �/ No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: 1���' iL� <br /> Fire Department: - � � C.� Post Office: (�c:,.� L�-1cA: School District: L�/C.t:.,�-t�� <br /> Lot Area: Sq.ft. /L�;� L.Ih4�-�'Acres — Width I/L��=�-�•�� Depth <br /> Survey Submitted: Yes � No Date of Survey: G "��'' ���' <br /> Proposed Setbacks: r <br /> Front (Lake): _ Six` � � Right Side: `{� � <br /> Rear(Street): ��� Left Side: i 2.�- ` r <br /> Adjacent Structures: 0�'T'T�C if2.3� Wetland: t�+' 1/�- <br /> Building Height: Def. Hgt. 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 Dis�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 /> REMARKS (in house): <br /> � 26 <br />