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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �jc;c; �,_.�;��.�� j�. ; <br /> PID: <br /> DESCRIP'TION OF WORK: L7��1< :�n.�.>�.t �,�� d,'��,�y.�.-�..;z;,� <br /> -------------------------------------------r--�---------------------------------------------------------------------- <br /> ZONING REVIEW BY: ������-- DATE APPROVED: �=1 -`�7 <br /> BUILDING REVIEW BY: 't: _ DATE APPROVED: �,-G `i 7 <br /> ----------------------------------------�-------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE S UR�HARGE Yes �' No WATER CONNECTTON <br /> INVESTIGA'I'ION-FEE Yes No ✓� PARK FEE <br /> SAC Yes No L- SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: f��-1 t3 <br /> Fire Department: ��- Post Office: (..�- School District: U�,-^��"�' <br /> Lot Area: Sq.ft. /Uc C I���Acres — Width '- Depth — <br /> Survey Submitted: Yes ti No Date of Survey: 1 2 -2 3 `7(� <br /> Proposed Setbacks: <br /> Front (Lake): �1c�c -t Right Side: t Z`�' ��- <br /> F�e� (Street): ��n � �- Left Side: � 7 � � �-- <br /> AdjacentStructures: 147'7�t-�ft--� Wetland: ��'� � 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 /> � <br /> Shoreland Dist: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 />