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1 <br /> , � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2p�j S S 1�1(..1:1'Y� (Ac�2-t- <br /> PID: <br /> DESCRIPTION OF WORK: Po oL . <br /> -------------------------------------------------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 9 • Z 3• S$ <br /> BUILDING REVIEW BY: DATE APPROVED: q • Z3 •��3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING.CH�CK LIST Zoning District: '�LC�.- � � <br /> Fire Department: >k � Post Office: School District: O�n� <br /> Lot Area: Sq.ft. /Ud LI-f/��.t(,L Acres — Width — Depth ' <br /> Survey Submitted: Yes oC No Date of Survey: oN F�� <br /> Proposed Setbacks: <br /> Front (Lake): ( �0� '� Right Side: �5� ± <br /> Rear (Street): '-{$0� Left Side: 1 I�� � <br /> Adjacent Structures: ► 5 � Wetland: 3pd� t <br /> Building Height: Def. Hgt. ns (J'r- Peal:Hgt. �J �/+, <br /> Lot Coverage: o.<< <br /> Grading: Staff Approval Date: 9 - 23 -�t� By: � Council Approval Date: — <br /> Septic: Staff Approval Date: l� ( ��i By: <br /> Zoning File: # � Resolution: # -� Resolution Date: — <br /> Shoreland District: y�5 <br /> Avg. Setback: �.�C P�p'� AiA.c'��Bluff Setback: �1 �,� Lot Coverage: <br /> ' Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �•<< <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No o� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />