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, . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /Y f�� Si�to2�G�� /Jr� <br /> PID: <br /> DESCRIPTION OF WORK: no�/ �¢,vL /tsffo�/i <br /> ZONING REVIEW BY: DATEAPPROVED: '7- �- C�� <br /> BUII.DING REVIEW B : DATE APPROVED: '� •� Z..—�s� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes �/' No SEWER CONNEC"TION <br /> STATE SURCHARGE Yes `'� No WATERCONIVECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> -- ____-- -- ----- --------------------r-------------------------��_��_ <br /> ZONIlVG CH�CK LIST Zoning District: G./1•��} <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3�,�� � Acres . �1 Width I 32 Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �N l�-''i t.0 <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> � Adjacent Structures: Wetland: <br /> N Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> �(3oNesTwoa <br /> Grading: Staff Approval Date: Qr��r,,�,r� [r�tve�l By: •` 23_oSCouncil Approval Date: 't-�l•e S <br /> Septic: Staff Approval Date: �/�Q By: <br /> Zoning File: # 05'-1►�y Resolution: 1� Resolution Date: 7'��-o� <br /> Shoreland District: rtS �, <br /> Avg. Setback� iv� Bluff Setback: N//1� Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' � ' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No �t Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />