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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDIiESS OR LEGAL: Z o�o �s',�9sJ y wo.� � <br /> . <br /> PID: <br /> DESCRIPTION OF WORK: ,D cc.►c t '3 st-�oN oo�c.G. <br /> ZO.�tI�Ti G REVIEW BY: (�,.._— ----~ DATE APPROVED: �-I z •�3 <br /> BUII.DIiYG REVIEW BY: DATE APPROVED; G •� z- �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WA'TE�tCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L 2•/C . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq�.ft. Acres � Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: <br /> T�eat(Lake): 7 6 � Right Side: �o , <br /> Reaz(Street): /�/ Left Side: �y' <br /> Adjacent Structures: g�n'pc�c:.� Wetland: N/� <br /> Building Height: Def. Hgt. — Peal:Hgt. — <br /> Lot Coverage: I L•3'�� <br /> Gradina: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # b 3•Z ii L b Resolution: # y5 2`� Resolution Date: Z •Z`1 - °3 <br /> Shoreland District: �,.eS <br /> Avg. Setback?,y,��.�„a-,•r c.r Bluff Setback: �v//; Lot Coverage: 16.3�� <br /> Ezisting Proposed <br /> Hardcover: 0-75' 2y.$b i 2•�3 <br /> 75-250' S�• ° g <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): _ <br /> 7 <br />