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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 Z��-r% s�-�A��.:.:.::,,� �'"� <br /> PID: <br /> DESCRIP'TION OF WORK: (�;�w ���5 _ <br /> --------__----------------------------------------------------------------------------------------------------------- <br /> ZOi�1ING REVIE`V BY: �c�,� („'v��:,... DATE APPROVED: �� � G-y�1 <br /> BUILDING REV�W BY: �� -� ;�f G�,�.� DATE APPROVED: � � �� 7 <br /> ------------------------------------------�—f.�----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v�' No , <br /> PLAN REVIEW Yes ✓" No SEWER CONNECTION <br /> STATE SUR:HARGE Yes v' No WATERCONNECTION <br /> INVESTIGA'I'ION-FEE Yes No ii PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST zoning Districr. ��'L-i G'� <br /> Fire Department: ti, • Post Office: - • ,: V�i�:c_ School District: i;���r,-%�- <br /> Lot Area: Sq.ft. Z u� Acres �'�f `>S'� Width �a 7� � �'��. Depth %3 Z�`►� <br /> Survey Submitted: Yes�_ No Date of Survey: Y' Z`i-�'7 <br /> Proposed Setbacks: <br /> Front (Lake): Y�c�, � Right Side: � � 5� � <br /> Rear(Street): i 3 `� •� Left Side: i vt%-�� <br /> Adjacent Structures: /�l I(� Wetland: /V 1�1 <br /> Building Height: Def. Hgt. 2-� Peak Hgt. 3� <br /> Lot Coverage: � i� <br /> Grading: Staff Approval Date: � " l� � `�� By: �� Council Approval Date: n�' 1 v� <br /> Septic: Staff Approval Date: � � �' � By: �-"�• <br /> Zoning File: # �% j �_ Resolution: # — Resolution Date: � <br /> Shoreland Dist:ict: y�S <br /> Avg. Setback: � r/4 Bluff Setback: �/ �/�- Lot Coverage: ti�i A <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' p" �` <br /> 250`500' � <br /> 500-1000' ��rle <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />