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� � <br /> , CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR O�FICE USE ONLY <br /> ADDRESS OR LEGAL: � -�, w: � �����-u'_ G�-1�.� f��c.�w <br /> PID: <br /> DESCRIP'TION OF WORK: ;-c'�-`�. �,e�-U'� ` _c�t <br /> ZONING REVIEW BY: w DATE APPROVED: tS-r s -9 g <br /> BUILDING REVIEW BY: �Qo DATE APPROVED: ,S-�s -g S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl\'G CHECK LIST Zoning District: �-R-n4 <br /> Fire Department: (,o�C{ V4tc8 Post Office: �„�p�,-r,f�tl�► School District: n(�-b�•rt� <br /> Lot Area: Sq.f[. 5�, '{O� Acres (. ZZ- Width !2Qf I�u� Depth Yp�7 •Sa A�tR <br /> Survey Submitted: Yes D� No Date of Survey: 3-30-�� <br /> Proposed Setbacks: <br /> Front (Lake): 1�0� "� Right Side: 10' <br /> Rear (Street): 2�O � Left Side: �17� <br /> ' ' f <br /> Adjacent Structures: Z�I `Vetland: SO <br /> Building Height: Def. Hgt. (�� k- Peal:Hgt. " <br /> Lot Coverage: 6.��- <br /> Grading: Staff Approval Date: � By: - Council Approval Date: - <br /> Septic: Staff Approval Date: —" By: '" <br /> Zoning File: # 2353 Resolution: # Resolution Date: �1• 27-�� <br /> Shoreland District: y+�s <br /> Avg. Setback: /� (y�}-- Bluff Setback: �V (/� L.ot Coverage: O-(� <br /> Existin; Proposed <br /> Hardcover: 0-75' <br /> 75-250' �_ 0•2. <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes X No Date of Council Approval: �"Z�` 9 U <br /> REMARKS (in house): - <br /> 7 <br />