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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 3�`'� �I-4 A�� c w�O o� iZOA� <br /> PID: <br /> DESCRIPTION OF WORK: ,Z�,�,Q ��-�o✓�•� � .nn. n o�.J <br /> ZONING REVIEW BY: DATE APPROVED: ?• 3�-o� <br /> BUII.DING REVIEW BY: DATE APPROVED: 7 - 3� •� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER COrfNEC'TION <br /> STATE SURCHARGE Yes �/ No WATER COrfNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: L 2 - ►�. <br /> Fire Department: �u� Post Office: f�lA-t u� School District: G/t.o n/O . <br /> v <br /> Lot Area: Sq.ft. (,,y,�c3� Acres . /j Width 6�5 Depth 101 .,5� WI�Q <br /> . <br /> Survey Submitted: Yes� No Date of Survey: 1(•Sb•gel <br /> Proposed Setbacks: <br /> Front(Lake): 7.0 Right Side: 2•�l <br /> Reaz (Street): SS � 'F' Left Side: I ���j <br /> Adjacent Structures: �,3� � Wetland: /�(,� � <br /> Building Height: Def. Hgt. (�. [� Peak Hgt. 0. 1� <br /> Lot Coverage: Z6.� <br /> Grading: Staff Approval Date: `-' By: — Council Approval Date: — <br /> Septic: Staff Approval Date: "- By: <br /> Zoning File: # Z5 72 Resolution: # YYb Y Resolution Date: �i' S-�-2 o a� <br /> Shoreland District: �,.P3 <br /> Avg. Setback. N� Bluff Setback: Lot Coverage: — <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 3 7•)t �.?�U— <br /> Hardcover Vaziance Required: Yes�_ No� Date of Council Approval: ,$��� - ?.�� <br /> REMARKS (in house): <br /> 27 <br />