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� .- <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE IISE ONLY <br /> ADDRESS OR LEGAL: I 32 S �,�fo/?.tZ,avc.s ,flR <br /> PID: . <br /> DESCRIPTION OF WORK Nc�J /l,t.s. <br /> ZONING REVIEW BY: DATE APPROVED: L-��-a 2- <br /> BUILDING REVIEWBY.• DATE APPROVED: G -!� -aZ. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLANREVIEW Yes ,� No SEWER CONNECTION X <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No�_` SITE INSPECTION <br /> Number of SAC Units Trlk�sFtn �,,.� �,,,�.�, OTHER (specify) <br /> ZONING CHECK LIST Zoning District: G�-?� � <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�e No Date of Survey: 7� Z�' �� <br /> Proposed Setbacks: <br /> �'ront (Lake): 10?� �' Right Side: 30'� <br /> .Resr (Street): ZSv' � Left Side: 32_,�� <br /> Adjacent Structures: l�]� Wetland: N�,� <br /> Building Height: Def. Hgt. 21•S Peak Hgt. Z Q.S <br /> Lot Coverage: N I/1- <br /> Grading: Staff Approval Date: 6 •!1 ' c�2-- By: �- Council Approval Date: — <br /> Septic: Sta,ff Approval Date: — By: <br /> Zoning File: # 27`� Resolution: # `'1��� Resolution Date: <br /> Shoreland District: y,p� <br /> Avg.Setback: c�.<< Blu,�'Setback: �//q- Lot Coverage: p,(C <br /> Existing Proposed �,o. <br /> Hardcover: 0-75' . 7f� '�'µvtj /� /'�'+��� !.� <br /> �s-aso� zy.� <br /> Zsasoo� s.oY <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />