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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: I���s s;�r.3v_�y���,�,;:� .����� <br /> PID: <br /> DESCRIP'I�ION OF WORK: t�}� ;� i�<�:'� c::�+,�.'t c,L, <br /> ----------- ------_---____ <br /> ZONING REVIEW BY: � � DATE APPROVED: 4'.;.• y�: <br /> BUII.DING REVIEW BY: _ �.,....��__ DAT'E APPROVED: �s• ��- `r v <br /> ----------------------- � <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT • Yes ✓ No <br /> p� ��EW yes �'" No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WAT�R CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI'E INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> ZONING CHECK LIST Zoning District: Li'{L Shoreland District : W i�� <br /> Fire Department: ���="��� Post Office: �_�•a�-��n`a School District: iti�.c�v�'> <br /> Lot Area: Sq.ft. z 2, � <br /> ��� Acres Width �j �.% Depth L � Z,' <br /> Survey Submitted: Yes �c No Date of Survey: r'= ='-�`� ���'_ *, �� <br /> Proposed Setbacks: <br /> Front (Lake): ��� Right Side: ( � � 5 <br /> Rear (Street): (`t�� Left Side: `� Z n' <br /> � <br /> Adjacent Structures: ,4���{�::�� Wetland: � c Z� <br /> Building Height: Def. Hgt. �� �- Peak Hgt. '" <br /> Avg. Setback: !L` t t� Bluff Setback: � !/1 Lot Coverage: L� ,/� <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 /> / Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> ��� Zoning File: # Resolution: # Resolution Date: <br /> REMARKS (in house): <br /> �.. <br /> 26 <br />