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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Q,� i U si�,�r�'y�v�,�� f'�.�^.,,,� <br /> PID: <br /> DESCRIPTION OF WORK: ��L,-�,�< -,- C.�ir,�.s,-k:t'tu. y:�.Y�S <br /> -----------------------------------------------/-�--,-�--------------------------------------------------------------------- <br /> ZONING REVIE� BY: � ^ 1���-� DATE APPROVED: � �Z`�- ``t� <br /> BUILDING REVIEW BY: ' ;- , ` � DATE APPROVED: � 2�i ��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE -3�Yes ;/ No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify)�9 t=�z�r: rr+� r A�i <br /> c� ��qti;�c �'�E��Z .�z:� <br /> . � <br /> . <br /> -------------------------------------------------------------------------------------------------�,-:�t-;;------------ � �.z <br /> +- �.,�..5��c..��7 ov.� ��I <br /> ZONING CHECK LIST Zoning District: LR-(C.. <br /> Fire Department: �rin�•..;,,� Post Offce: �.ayz�=�i►.�k School District: �:,,� 57v�i�c.h <br /> Lot Area: Sq.ft. N o c�+A-NG c Acres — Width --- Depth "" <br /> Survey Submitted: Yes�_ No Date of Survey: � tv � ��-::. > -i 2-`ti <br /> Proposed Setbacks: <br /> F�e�►t (Lake): 7� r Right Side: �U� � <br /> R�ar (Street): <br /> N�� Left Side: �� `� <br /> Adjacent Structures: �1YT�c,rEt."� Wetland: {L(r� <br /> Building Height: Def. Hgt. ��� Peak Hgt. /ti(t'� <br /> Lot Coverage: II�Z� <br /> Grading: Staff Approval Date: �; f� By: — Council Approval Date: '—' <br /> Septic: Staff Approval Date: /(} i�'1 By: — <br /> Zoning File: # 2�3� Resolution: #� 31y�( Resolution Date: � ��Z� �� <br /> Shoreland District: '�c� <br /> Avg. Setback: c��K Bluff Setback: N1� <br /> Existing Proposed <br /> Hardcover: 0-75' y° 3��` <br /> 75-250' y/.7-7. <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �: No Date of Council Approval: � `2- �1� <br /> REMARKS (in house): ►�c ;.,� � k _� .-�-�'�-�:.� �z ,}�,���-T <br /> 10 <br />