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� _ �. CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y o t n S�0 2�c L�n��c �'�s'2 <br /> PID: <br /> DESCRIPTION OF WORK: ,�t bti� 1 T I O N <br /> ZO�1G REVIEW BY: ' DATE APPROVED: Z •Z.�-�z <br /> BUII.DING REVIEW BY: DATE APPROVED: 2.z�.�z— <br /> .a , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,/' No <br /> PLAN REVIEW Yes �G No SEWER CONNEG�'TION <br /> STATE SURCHARGE Yes ✓' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districc: C.12-/r4 <br /> Fire Departmenr. Post Office: School District: � <br /> Lot Area: Sq.ft. S��6 2 3 Acres !•3? Width Depth <br /> Survey Submitted: Yes �C No Date of Survey: oK F��r <br /> Proposed Setbacks: <br /> Front(Lake): Z��� '�' Right Side: S�� � <br /> Rear(Street): �iL' � Left Side: k�` -t <br /> Adjacent Structures: p.�rr�ac.�.c�✓� Wetland: YU TA. <br /> Building Height: Def. Hgt. D.l� Peal:Hgt. d.K <br /> Lot Coverage: 0.1� <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Z-2't5"17 Resolution: # Resolution Date: Z-Zs -a Z <br /> Shoreland District: �G 5 <br /> Avg. Setback: VA/+.t�r+C„r Bluff Setback: LotCoverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): __ <br /> 7 <br />