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. � �' _ <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL:� � �"�) .,�1� �. �.._. -,�-r-�� /4 t:� � <br /> PID• l� � i r �1 � �> -�-i �f?�-� <br /> DESCR�PTION OF WO � ` ' - <br /> ., R�• ltt��.. ��'�tl�c:� �'x C K r � ,, � � <br /> ----k--=-�s----'-=�j-�-�-��--�-��s-=- ------------------------------------------------------------ --------- <br /> ZONING REVIEW BY: r � DATEAPPROVED: ; -;�>-��:'�J;J <br /> BUILDING REVIEW BY: DATE APPROVED: 3- 3-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes ✓� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No c/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: [_,�' - i` (`, <br /> Fire Department: ���;;J�,"4;�_ Post Office: �,�L�L ��'�-��-' School District: .�-"7 7 <br /> �/i I <br /> Lot Area: Sq.ft. i '�l,t��'7�� Acres < �:,`� Width � 3� Depth %`��_� ` <br /> Survey Submitted: Yes .�i _ No Date of Survey: •� �'•��l-��f'('��� <br /> Proposed Setbacks: <br /> Front (Lake): `% � '� Right Side: Ls -�i � <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: �;J(� <br /> BuildingHeight: Def. Hgt. f,;�� PeakHgt. +.�jf� <br /> Lot Coverage: �,�r"IL� �1s :�t� i- `Ic� ) <br /> Grading: Staff Approval Date: �v�(�- By: Council Approval Date: <br /> Septic: Staff Approval Date: ,►�,{�'� By: <br /> Zoning File: #� '�J � Resolution: # Resolution Date: <br /> Shoreland District: �I� - 1L- <br /> Avg. Setback: j�,;� Bluff Setback: ;ti;��f� L.ot Coverage: �`.�.$���:, <br /> Existing Proposed <br /> Hardcover: 0-75' ti��-�p �������t �) r" � r�r����i���) <br /> 75-250' ;�C��I `°1��:�7��i) ��'�.,� ;';,��tf��77�/0� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes ,� No Date of Council Approval: �� . .-r�', `-�"� ' , <br /> REMARKS (in house): <br /> � <br />