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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �"7�-15 �f+�2t;LiN� pR. <br /> PID: <br /> DESCRIPTION OF WORK: (1,�P�au n�� �-c�T ��.o n �, ��-,-� -T'�,-�s.�c� tZo� <br /> ------------------------------------- --------------------------------------------------------�--------�--------------- <br /> ZONING REVIEW BY: L��-- DATE APPROVED• S s--oy . <br /> BUILDING REVIEW BY: DATE APPROVED: 5-z,�o� <br /> , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No � SEWER CONNECTION <br /> STATE SURCHARGE Yes � No h�1/ATER CONNECTION <br /> •���INVESTIGATION FEE Yes�- No a�/� 7�PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> -_Number of SAC Units OTHER specify) <br /> -------------------------------- � ----��—��-`-'-��=��.£L�-- -- -'�'-�--'s�- - <br /> ZONIN('i CHECK LIST Zoning District: No c�wr►r.c„Q (,R-1� �/�'�`� <br /> G�-- <br /> Fire Department: Post Office: School District: �/—v� <br /> Lot Area: Sq.ft. Acres �-/.0 3 Width Depth <br /> Sur��ey Submitted: Yes � No Date of Survey: 11-26•a,(, <br /> Proposed Setbacks: <br /> Front (Lake): Right ide: <br /> Rear (Street): Left Si e: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # oH -Z9�� Resolution: # s�o� Resolution Date: i-Z�-o y <br /> Shoreland District: <br /> Avg. Setback: Bluff etback: L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � � '�d� �Ls —(�c� X S�/Ur�.'Y� C� D c�;Y�t_T' <br />