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• ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFF USE ONLY � <br /> ADDRESS OR LEGAL: ' ' ��.� � <br /> PID: <br /> DESCRIPTION OF WORK: � ,� '' t � <br /> ----------------------------------------- ---------------------------- . --------- <br /> �-,---`-�-;,�----- ----------------------------- <br /> ZONING REVIEW BY: �� l�'.��„�._-. DATE APPROVED. � 3� �+ 7 <br /> BUILDING REVIEW BY: `` DATE APPROVED: �.-3::. �t�7 <br /> -----------------------------------------------�- ---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �y No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR`I-�ARG� Yes �'P No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: �-i� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2�,'3�Z% Acres ,l� � Width c 3� F�-� Depth Z�`� r h�►� <br /> Survey Submitted: Yes� No Date of Survey: (a '� ' `r 5 - �iv --��....�.,•� n.� �„ �� <br /> Proposed Setbacks: <br /> , <br /> Front (Lake): _ �� , -� Right Side: �'�' �'-` <br /> I�ear (Street): ��� f Left Side: 2�% � �� <br /> Adjacent Structures: �7�tr'��EfiJ'� Wetland: N/�"} <br /> Building Height: Def. Hgt. J���- Peak Hgt. � <br /> Lot Coverage: I�7� <br /> Grading: Staff Approval Date: /I,ric'L By: '" Council Approval Date: — <br /> Septic: Staff Approval Date: ti %�- By: <br /> c <br /> Zoning File: # �'�� - Resolution: # s} /i Resolution Date: /L-ti•5�. <br /> —�� <br /> Shoreland DisLict: y�5 .� <br /> Avg. Setback: � . i'-_ Bluff Setback: /l✓ /� Lot Coverage: `� � " <br /> Existing Proposed <br /> Hardcover: 0-75' `�•`-f� t� �7 `I° <br /> 75-250' �i y�?� Z�"I� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: r Z-9 -`�L% <br /> REMARKS(in house): <br /> � 26 <br />