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r , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> �DDRESS OR LEGAL: /�Zs' .SH�40�9u�oo�0 /ZOA� <br /> PID: <br /> DESCRIPTION OF WORK: /.�E�-K <br /> ZONING REVIEW BY: DATE APPROVID: I'31�`t b <br /> BUII.DING REVIEW BY: DATE APPROVID: I- 3l -gb <br /> -------���---------- <br /> FEES TO BE CHARGED: Vlisc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/' No SEWER CONNECITON <br /> STATE SURCHARGE Yes ✓ No WAT'ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STrE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZONING CHECK LIST Zoning District: L R-1 L Shoreland District: y �S <br /> Fire Department: /'Y10uN� Post Office: 1�/Av'7�4� School District: h9 Od ni✓.� <br /> LotArea: Sq.ft. LS�vOo Acres . S� Width ido Depth Z Sb <br /> Survey Submitted: Yes �_ No Date of Survey: /- y-96 <br /> Proposed Setbacks: � <br /> Front (Lake): N�A Right Side: S6 S <br /> Reaz (Street): l�l�P Left Side: �'y <br /> N <br /> Adjacent Structures: A� <br /> c/fCD Wetland: ?U' '�' <br /> Building Height: Def. Hgt. d •1` Peak Hgt. U �� <br /> Av�. Setback: �(� Bluff Setback: Iv � IQ Lot Coverage: C'� �C <br /> E�t�g 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 /> Grading: Staff Approval Date: /��� By: Council Approval Date: <br /> Septic: Staff Approval Date: /1� �� By' <br /> Zoning File: l� �"_ <br /> Resolution: # — Resolution Date: --- <br /> g��y���S (in h0use): <br />